Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1997
NPI: 1790754737
Practice Locations (2)
137 THISTLETON WAY
St Augustine, FL 320923281
300 STONECREST BLVD, SUITE 310
SMYRNA, TN 371675684
Source: CMS National Downloadable File, September 2026.