Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1995
NPI: 1093755563
Practice Locations (1)
NORTHBAY HEALTH MEDICAL FOUNDATION
2470 HILBORN RD, SUITE 100AND200
FAIRFIELD, CA 945341100
7076465500
Source: CMS National Downloadable File, September 2026.