Medical school: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated: 2004
NPI: 1013110121
Practice Locations (2)
3400 DATA DR 1ST FLOOR
RANCHO CORDIVA, CA 956707956
3400 DATA DR 1ST FLOOR
Rancho Cordova, CA 956707956
Source: CMS National Downloadable File, September 2026.