Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1993
Also: GERIATRIC MEDICINE
NPI: 1124207006
Practice Locations (1)
1189 SWALLOW LN, SUITE 110
SIMI VALLEY, CA 930653157
8055263213
Source: CMS National Downloadable File, September 2026.