Medical school: UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1245342864
Practice Locations (1)
MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED
535 W 25TH ST, MFA PARKSIDE MEDICAL CLINIC
MERCED, CA 953402838
2097229066
Source: CMS National Downloadable File, September 2026.