Graduated: 2004
NPI: 1922764851
Practice Locations (3)
4760 S PECOS RD, SUITE 103
LAS VEGAS, NV 891215828
6000 BUNGALOW BAY ST, SUITE 5 823
LAS VEGAS, NV 891307249
6625 W SAHARA AVE, SUITE 8
LAS VEGAS, NV 891215828
Source: CMS National Downloadable File, September 2026.