Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 2005
Also: ANESTHESIOLOGY, PAIN MANAGEMENT
NPI: 1518178763
Practice Locations (1)
SAN JUAN REGIONAL MEDICAL CENTER, INC.
2500 FARMINGTON AVE
FARMINGTON, NM 874014504
5056096830
Source: CMS National Downloadable File, September 2026.