Graduated: 1987
NPI: 1235398637
Practice Locations (2)
TRI-VALLEY UROLOGY MEDICAL GROUP
25495 MEDICAL CTR DR, SUITE 204
MURRIETA, CA 925624903
9516981901
NORTHWEST UROLOGY LLC
9135 SW BARNES RD, SUITE 663
PORTLAND, OR 972256683
5032971078
Source: CMS National Downloadable File, September 2026.