Medical school: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated: 2003
NPI: 1245288950
Practice Locations (1)
GILA RIVER HEALTH CARE CORPORATION
483 W SEED FARM RD, HU HU KAM MEMORIAL HOSP
SACATON, AZ 851470038
6025281200
Source: CMS National Downloadable File, September 2026.