Medical school: MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1760463830
Practice Locations (1)
INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC
9260 W SUNSET RD, SUITE 100
LAS VEGAS, NV 891484903
7025345466
Source: CMS National Downloadable File, September 2026.