Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 1991
NPI: 1154352185
Practice Locations (2)
REGENTS OF THE UNIVERSITY OF CALIFORNIA
200 W ARBOR DR
SAN DIEGO, CA 921031911
8582496753
2406 ULRIC ST
SAN DIEGO, CA 921116040
Source: CMS National Downloadable File, September 2026.