Medical school: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated: 1981
NPI: 1740248384
Practice Locations (1)
OHI WEST MEDICAL GROUP II LLC
19021 N DALE MABRY HWY
LUTZ, FL 335484982
8139615201
Source: CMS National Downloadable File, September 2026.