Medical school: UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Graduated: 1987
NPI: 1447256771
Practice Locations (1)
H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC
12902 USF MAGNOLIA DR
TAMPA, FL 336129416
8888602778
Source: CMS National Downloadable File, September 2026.