Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 1988
NPI: 1881620938
Practice Locations (1)
H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC
12902 USF MAGNOLIA DR
TAMPA, FL 336129416
8888602778
Source: CMS National Downloadable File, September 2026.