Medical school: NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated: 1994
NPI: 1629153010
Practice Locations (2)
NOVA SOUTHEASTERN UNIVERSITY INC
3200 S UNIVERSITY DR
DAIVE, FL 333282018
9542629417
NOVA SOUTHEASTERN UNIVERSITY INC
650 N ANDREWS AVE, EYE INSTITUTE
FT LAUDERDALE, FL 333117436
9542624343
Source: CMS National Downloadable File, September 2026.