Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 2003
NPI: 1083883987
Practice Locations (1)
SAN DIEGUITO ORTHOPEDIC MEDICAL CENTER P C
332 SANTA FE DR, SUITE 110
ENCINITAS, CA 920245143
7609436700
Source: CMS National Downloadable File, September 2026.