Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 1993
Also: PLASTIC AND RECONSTRUCTIVE SURGERY
NPI: 1619977220
Practice Locations (1)
LAKE ENT AND FPS, PA
601 E DIXIE AVE, PLAZA 901
LEESBURG, FL 347485953
3527282404
Source: CMS National Downloadable File, September 2026.