Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1985
NPI: 1114987658
Practice Locations (2)
3969 4TH AVE
SAN DIEGO, CA 921033165
3969 4TH AVE, SUITE 301
SAN DIEGO, CA 921033165
Source: CMS National Downloadable File, September 2026.