Medical school: UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated: 1991
NPI: 1487606265
Practice Locations (2)
YALE UNIVERSITY
20 YORK ST
NEW HAVEN, CT 065103220
2036884242
YALE UNIVERSITY
55 LOCK ST
NEW HAVEN, CT 065113603
2034320076
Source: CMS National Downloadable File, September 2026.