Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 2001
NPI: 1699887232
Practice Locations (1)
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
600 S MAIN ST
FORT WORTH, TX 761042410
8178822400
Source: CMS National Downloadable File, September 2026.