Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1973
NPI: 1922086644
Practice Locations (2)
2222 S 16TH ST, TOWER B SUITE 305
Lincoln, NE 685023762
2222 S 16TH ST, SUITE 305
LINCOLN, NE 685023762
Source: CMS National Downloadable File, September 2026.