Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 1999
Also: OTOLARYNGOLOGY
NPI: 1063502839
Practice Locations (1)
COUNTY OF SAN LUIS OBISPO
2191 JOHNSON AVE
SAN LUIS OBISPO, CA 934014534
5087815518
Source: CMS National Downloadable File, September 2026.