Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1976
NPI: 1699737437
Practice Locations (1)
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO
903 W MARTIN ST
SAN ANTONIO, TX 782070903
2103583400
Source: CMS National Downloadable File, September 2026.