Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 1969
Also: INTERNAL MEDICINE
NPI: 1235164294
Practice Locations (2)
1510 S CENTRAL AVE, SUITE 640
GLENDALE, CA 912042552
8182423200
AXODERM CORP
1510 S CENTRAL AVE, SUITE 640
GLENDALE, CA 912042552
8182423200
Source: CMS National Downloadable File, September 2026.