Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 1995
NPI: 1417915596
Practice Locations (1)
POST-ACUTE PHYSICIANS OF INDIANA LLC
7970 W JEFFERSON BLVD, POST ACUTE PHYSICIANS LLC
FORT WAYNE, IN 468044140
2817243050
Source: CMS National Downloadable File, September 2026.