Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 1993
NPI: 1407835150
Practice Locations (1)
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
1611 NW 12 AVE
MIAMI, FL 331361005
3055857110
Source: CMS National Downloadable File, September 2026.