Medical school: UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduated: 1983
Also: GENERAL PRACTICE
NPI: 1912954355
Practice Locations (1)
CONVIVA MEDICAL CENTER MANAGEMENT, LLC
6766 FOREST HILL BLVD
GREENACRES, FL 334133321
5619660015
Source: CMS National Downloadable File, September 2026.