Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1997
NPI: 1144402405
Practice Locations (2)
330 N BRAND BLVD, SUITE 190
Glendale, CA 912034425
330 N BRAND BLVD, SUITE 190
GLENDALE, CA 912034425
8182401820
Source: CMS National Downloadable File, September 2026.