Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1997
NPI: 1912942624
Practice Locations (1)
SUMMIT MEDICAL GROUP ARIZONA LLC
19003 N R H JOHNSON BLVD
SUN CITY WEST, AZ 853754402
8886986727
Source: CMS National Downloadable File, September 2026.