Medical school: UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated: 1990
NPI: 1760440614
Practice Locations (1)
UNIVERSITY OF KANSAS SCHOOL OF MEDICINE WICHITA MEDICAL PRACTICE ASSOC
1010 N KANSAS ST
WICHITA, KS 672143124
3162932611
Source: CMS National Downloadable File, September 2026.