Medical school: UN OF CALIFORNIA, IRVINE, COLLEGE OF MEDICINE
Graduated: 2024
NPI: 1184454654
Practice Locations (1)
GREATER LONG BEACH GENITO-URINARY MED GRP
3650 S ST, SUITE 408
LAKEWOOD, CA 907121510
5626300423
Source: CMS National Downloadable File, September 2026.