Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1992
NPI: 1982651824
Practice Locations (2)
KANSAS MEDICAL CENTER LLC
1124 W 21ST ST, EMERGENCY MEDICINE
ANDOVER, KS 670025500
3163004911
CEP AMERICA - KANSAS LLC
3251 N ROCK RD
DERBY, KS 670373850
8333457625
Source: CMS National Downloadable File, September 2026.