Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 2000
Also: PEDIATRIC MEDICINE
NPI: 1629183157
Practice Locations (1)
LOUISIANA STATE UNIVERSITY SCHOOL OF MED IN NEW ORLEANS FACULTY GROU
200 HENRY CLAY AVE
NEW ORLEANS, LA 701185720
5044121860
Source: CMS National Downloadable File, September 2026.