Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 1998
NPI: 1437115599
Practice Locations (1)
MIDWESTERN UNIVERSITY
19389 N 59TH AVE
GLENDALE, AZ 853086500
6235376000
Source: CMS National Downloadable File, September 2026.