Medical school: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated: 1991
Offers telehealth
NPI: 1093822108
Practice Locations (1)
REGENTS OF THE UNIVERSITY OF CALIFORNIA
3390 UNIVERSITY AVE, SUITE 100
RIVERSIDE, CA 925013315
9518277793
Source: CMS National Downloadable File, September 2026.