Medical school: TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1922033471
Practice Locations (1)
AQUA DERMATOLOGY OF FLORIDA, PA
9125 CORSEA DEL FONTANA WAY, SUITE 100
NAPLES, FL 341094430
2395984004
Source: CMS National Downloadable File, September 2026.