Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2000
NPI: 1467676148
Practice Locations (2)
SOMC MEDICAL CARE FOUNDATION, INC.
1805 27TH ST
PORTSMOUTH, OH 456622640
7403568681
VALLEY PHYSICIAN SERVICES PC
5705 MAXIE ST
HOUSTON, TX 770073100
8008255391
Source: CMS National Downloadable File, September 2026.