Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 1998
NPI: 1720152754
Practice Locations (2)
UT PHYSICIANS
6410 FANNIN ST
HOUSTON, TX 770303000
UT PHYSICIANS
6410 FANNIN ST
HOUSTON, TX 770303005
Source: CMS National Downloadable File, September 2026.