Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 1993
NPI: 1992797708
Practice Locations (2)
8000 PASEO DEL NORTE NE, BLDG E
ALBUQUERQUE, NM 871222984
5052911711
8000 PASEO DEL NORTE NE E
ALBUQUERQUE, NM 871222984
Source: CMS National Downloadable File, September 2026.