Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1994
NPI: 1386832525
Practice Locations (1)
RIO GRANDE ALCOHOLISM TREATMENT CENTER INCORPORATED
105 PASEO DEL CANON W, SUITE A
TAOS, NM 875716943
5757375533
Source: CMS National Downloadable File, September 2026.