Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1988
NPI: 1275590549
Practice Locations (4)
SENECA HEALTHCARE DISTRICT
PO BOX, SUITE 737
Chester, CA 960200737
SENECA HEALTHCARE DISTRICT
PO BOX, SUITE 737
CHESTER, CA 960200737
SOUTHERN MONO HEALTH CARE DISTRICT
PO BOX
MAMMOTH LAKES, CA 935460660
SOUTHERN MONO HEALTH CARE DISTRICT
PO BOX, SUITE 660
MAMMOTH LAKES, CA 935460660
Source: CMS National Downloadable File, September 2026.