Medical school: UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated: 2008
NPI: 1760622278
Practice Locations (2)
6605 NANCY RIDGE DR
SAN DIEGO, CA 921212253
101 HOSPITAL LOOP NE, SUITE 114
ALBUQUERQUE, NM 871092100
8589002714
Source: CMS National Downloadable File, September 2026.