Medical school: LAKE ERIE COL OF OSTEOPATHIC MEDICINE, BRADENTON
Graduated: 2021
NPI: 1154998839
Practice Locations (2)
ENCINITAS EMERGENCY MEDICINE INC
354 SANTA FE DR
ENCINITAS, CA 920245142
7607531362
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
6640 ALTON PKWY
IRVINE, CA 926183734
9499325000
Source: CMS National Downloadable File, September 2026.