Medical school: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1871506915
Practice Locations (2)
610 W MAIN ST
WILMINGTON, OH 451772125
3030 NW EXPRESSWAY, SUITE 1000
OKLAHOMA CITY, OK 731125468
Source: CMS National Downloadable File, September 2026.