Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2002
NPI: 1730126897
Practice Locations (1)
BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC
1900 N HIGLEY RD
GILBERT, AZ 852341604
4804532034
Source: CMS National Downloadable File, September 2026.