Medical school: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1996
Also: GENERAL SURGERY
NPI: 1861595779
Practice Locations (1)
UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO
7979 WURZBACH RD
SAN ANTONIO, TX 782294427
2104509000
Source: CMS National Downloadable File, September 2026.