Medical school: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1205048436
Practice Locations (1)
SURGICAL GROUP OF SOUTH LAGUNA A MEDICAL CORPORATION
31862 PACIFIC COAST HWY, SUITE 201
LAGUNA BEACH, CA 926516771
9494994565
Source: CMS National Downloadable File, September 2026.