Medical school: RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated: 1987
NPI: 1376649012
Practice Locations (2)
10410 S EASTERN AVE, SUITE 100
HENDERSON, NV 890524196
10410 S EASTERN AVE, SUITE 110
HENDERSON, NV 890524196
7026179599
Source: CMS National Downloadable File, September 2026.