Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 2004
NPI: 1063542967
Practice Locations (2)
1350 COLUMBIA ST, UNIT 800
SAN DIEGO, CA 921013454
1350 COLUMBIA ST, UNIT 800
SAN DIEGO, CA 921013456
Source: CMS National Downloadable File, September 2026.