Medical school: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated: 1991
NPI: 1639124969
Practice Locations (1)
COVENANT MEDICAL CENTER INC
3421 W 9TH ST, MERCYONE WATERLOO MEDICAL CENTER
WATERLOO, IA 507025401
3192727600
Source: CMS National Downloadable File, September 2026.