Medical school: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1990
NPI: 1871573501
Practice Locations (1)
BRYAN PHYSICIAN NETWORK
2222 S 16TH ST TOWER B, 405 BRYAN MEDICAL CENTER TRAUMA OUTPATIENT
LINCOLN, NE 685023793
4024815860
Source: CMS National Downloadable File, September 2026.