Medical school: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated: 1997
Also: PEDIATRIC MEDICINE
NPI: 1174617203
Practice Locations (1)
SAN LUIS DERMATOLOGY, INC.
15 SANTA ROSA ST
SAN LUIS OBISPO, CA 934051811
8055412650
Source: CMS National Downloadable File, September 2026.