Medical school: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1881689206
Practice Locations (2)
10300 W CHARLESTON BLVD, 13 141
Las Vegas, NV 891351037
10300 W CHARLESTON BLVD, SUITE 13141
LAS VEGAS, NV 891351037
Source: CMS National Downloadable File, September 2026.