Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1999
Also: CARDIAC ELECTROPHYSIOLOGY, PEDIATRIC MEDICINE
NPI: 1871535088
Practice Locations (1)
BANNER PHYSICIAN SUPER SPECIALISTS ARIZONA LLC
1400 S DOBSON RD
MESA, AZ 852024707
4804123000
Source: CMS National Downloadable File, September 2026.