Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1986
NPI: 1932268265
Practice Locations (2)
KANSAS MEDICAL CENTER LLC
9840 E 21ST ST N, CYPRESS HEART
WICHITA, KS 672063589
3168589000
KANSAS MEDICAL CENTER LLC
427 FAIRVIEW AVE
PONCA CITY, OK 746011923
3168589000
Source: CMS National Downloadable File, September 2026.