Medical school: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated: 1989
NPI: 1962422311
Practice Locations (1)
CHI HEALTH CLINIC PHYSICIAN ENTERPRISE-ANESTHESIA LLC
555 S 70TH ST, CHI HEALTH ST. ELIZABETH
LINCOLN, NE 685102462
4022198000
Source: CMS National Downloadable File, September 2026.