Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1989
Also: EMERGENCY MEDICINE
NPI: 1265481923
Practice Locations (2)
COUNTY OF LOS ANGELES
335 E AVE I
LANCASTER, CA 935351916
6614714232
DEPARTMENT OF VETERANS AFFAIRS OF THE STATE OF CALIFORNIA
11500 NIMITZ AVE
LOS ANGELES, CA 900493566
4248328200
Source: CMS National Downloadable File, September 2026.