Graduated: 1992
NPI: 1285628081
Practice Locations (2)
NORTHERN INYO HEALTHCARE DISTRICT
150 PIONEER LN
BISHOP, CA 935142556
7608735811
HILO BENIOFF MEDICAL CENTER
1190 WAIANUENUE AVE
HILO, HI 967202089
8089323000
Source: CMS National Downloadable File, September 2026.