Medical school: R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduated: 1996
NPI: 1962513044
Practice Locations (1)
LUTHERAN HOSPITAL ASSOCIATION OF THE SAN LUIS VALLEY
106 BLANCA AVE
ALAMOSA, CO 811012340
7135893000
Source: CMS National Downloadable File, September 2026.