Medical school: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated: 1983
NPI: 1225005663
Practice Locations (2)
1711 W TEMPLE ST
LOS ANGELES, CA 900265421
1711 W TEMPLE ST, 7TH FLOOR
LOS ANGELES, CA 900265421
2132075000
Source: CMS National Downloadable File, September 2026.