Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1994
NPI: 1497868368
Practice Locations (1)
MINNESOTA UROLOGY, PA
3366 OAKDALE AVE N, SUITE 303
ROBBINSDALE, MN 554222966
7635207700
Source: CMS National Downloadable File, September 2026.