Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1993
NPI: 1912961582
Practice Locations (4)
1643 NW 136 AVE
SUNRISE, FL 333232857
2000 HEALTH PARK DR
BRENTWOOD, TN 370274692
265 BROOKVIEW CENTRE WAY
KNOXVILLE, TN 379194053
PO BOX, SUITE 22000
SAN ANGELO, TX 76902
Source: CMS National Downloadable File, September 2026.