Medical school: MCMASTER UN, MICHAEL DEGROOTE SCHOOL OF MEDICINE
Graduated: 1974
NPI: 1811995640
Practice Locations (1)
CONVIVA MEDICAL CENTER MANAGEMENT OF TEXAS, P.A.
10435 VISTA DEL SOL DR
EL PASO, TX 799257920
9155916229
Source: CMS National Downloadable File, September 2026.