Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1991
NPI: 1295767176
Practice Locations (2)
REGENTS OF THE UNIVERSITY OF CALIFORNIA AT BERKELEY
200 MINOR HALL
BERKELEY, CA 947202020
REGENTS OF THE UNIVERSITY OF CALIFORNIA AT BERKELEY
200 MINOR HALL, SUITE 384A
BERKELEY, CA 947202020
5106422020
Source: CMS National Downloadable File, September 2026.