Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1982
NPI: 1720159551
Practice Locations (1)
14555 N SCOTTSDALE RD, SUITE 120
SCOTTSDALE, AZ 852544067
4805850252
Source: CMS National Downloadable File, September 2026.