Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 1990
NPI: 1164500526
Practice Locations (2)
REGENTS OF THE UNIVERSITY OF CALIFORNIA
101 THE CITY DR S
ORANGE, CA 928683201
7144567004
UNIVERSITY OF VERMONT MEDICAL CENTER INC
111 COLCHESTER AVE
BURLINGTON, VT 054011473
8028470000
Source: CMS National Downloadable File, September 2026.