Medical school: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1205932050
Practice Locations (2)
NORTHBAY PHYSICIANS SURGERY CENTER, LLC
1200 B GALE WILSON BLVD
FAIRFIELD, CA 945333552
7074293600
CEP AMERICA - CALIFORNIA
500 W HOSPITAL RD
FRENCH CAMP, CA 952319693
2094686000
Source: CMS National Downloadable File, September 2026.