Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 2001
NPI: 1861464604
Practice Locations (2)
PENN STATE HEALTH MEDICAL GROUP LLC
1120 COCOA AVE
HERSHEY, PA 170331712
7175334141
PENN STATE HEALTH MEDICAL GROUP LLC
2160 STATE RD
LANCASTER, PA 176011812
Source: CMS National Downloadable File, September 2026.