Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 1992
Also: CRITICAL CARE (INTENSIVISTS)
NPI: 1013959501
Practice Locations (1)
REGENTS OF THE UNIVERSITY OF CALIFORNIA
100 MOODY CT, SUITE 100
THOUSAND OAKS, CA 913606096
8054183444
Source: CMS National Downloadable File, September 2026.