Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 2000
NPI: 1205840469
Practice Locations (2)
868 ULULANI ST
HILO, HI 967203913
868 ULULANI ST, SUITE 103
HILO, HI 96743
8089613427
Source: CMS National Downloadable File, September 2026.