Medical school: TULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1979
NPI: 1629026158
Practice Locations (1)
DHHS,PHS,NAIHS, GALLUP INDIAN MEDICAL CENTER
516 E NIZHONI BLVD
GALLUP, NM 873015748
5057221000
Source: CMS National Downloadable File, September 2026.