Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1996
NPI: 1992887178
Practice Locations (1)
MIDWEST PHYSICIAN SERVICES LLC
9301 W 74TH ST, 325 WOMENS CARE
SHAWNEE MISSION, KS 662042217
9133844990
Source: CMS National Downloadable File, September 2026.