Medical school: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1998
NPI: 1679500268
Practice Locations (2)
BANNER-UNIVERSITY MEDICAL GROUP
2800 E AJO WAY
TUCSON, AZ 857136204
5208742000
HARTFORD HEALTHCARE MEDICAL GROUP SPECIALISTS PLLC
2800 MAIN ST
BRIDGEPORT, CT 066064201
2035766000
Source: CMS National Downloadable File, September 2026.