Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1983
NPI: 1245253582
Practice Locations (2)
212 SUMMIT AVE
REDLANDS, CA 923736852
9097095099
355 E 21ST ST, SUITE H
SAN BERNARDINO, CA 924044851
9097935511
Source: CMS National Downloadable File, September 2026.