Medical school: UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated: 1992
NPI: 1215918784
Practice Locations (1)
SUTTER BAY MEDICAL FOUNDATION
3883 AIRWAY DR, SUITE 165
SANTA ROSA, CA 954031675
7075217799
Source: CMS National Downloadable File, September 2026.