Medical school: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1982
NPI: 1033220850
Practice Locations (2)
1363 S ELISEO DR
Greenbrae, CA 949042012
1363 S ELISEO DR, SUITE B
GREEN BREA, CA 949042012
4159250501
Source: CMS National Downloadable File, September 2026.