Medical school: UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduated: 1994
NPI: 1962493650
Practice Locations (1)
NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC
3180 N POINT PKWY, BLDG 200
ALPHARETTA, GA 300054248
7707779845
Source: CMS National Downloadable File, September 2026.