Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1989
NPI: 1871591115
Practice Locations (2)
ST BERNARDS HOSPITAL INC.
225 E WASHINGTON AVE, ST BERNARDS MEDICAL CENTER
JONESBORO, AR 724013119
8709724100
SIGNATURE HEALTHCARE MEDICAL GROUP INC
680 CENTRE ST
BROCKTON, MA 023023308
5089417000
Source: CMS National Downloadable File, September 2026.