Graduated: 1997
NPI: 1487849378
Practice Locations (3)
NORTHEAST GEORGIA PHYSICIANS GROUP INC
743 SPRING NEST
GAINESVILLE, GA 305013715
7702196000
QUEENS UNIVERSITY MEDICAL GROUP
91 -2127 FORT WEAVER RD
EWA BEACH, HI 967061993
8086913000
QUEENS UNIVERSITY MEDICAL GROUP
1380 LUSITANA ST
HONOLULU, HI 968132448
Source: CMS National Downloadable File, September 2026.