Medical school: UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduated: 2000
NPI: 1528093705
Practice Locations (2)
500 VONDERBURG DR, SUITE 215
BRANDON, FL 335115977
8135491675
1 TAMPA GENERAL CIR
TAMPA, FL 336063571
8138447000
Source: CMS National Downloadable File, September 2026.