Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 2004
NPI: 1023235819
Practice Locations (1)
SUN MEDICAL GROUP INC
27522 ANTONIO PKWY, SUITE P3
LADERA RANCH, CA 926942166
9492073786
Source: CMS National Downloadable File, September 2026.