Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1996
NPI: 1760573638
Practice Locations (1)
ARKANSAS CHILDRENS PROFESSIONAL SERVICES ORGANIZATION LLC
1 CHILDRENS WAY
LITTLE ROCK, AR 722023500
5013642526
Source: CMS National Downloadable File, September 2026.