Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1993
NPI: 1497743686
Practice Locations (1)
STATE UNIVERSITY OF IOWA
200 HAWKINS DR
IOWA CITY, IA 522421009
3193561616
Source: CMS National Downloadable File, September 2026.