Medical school: NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated: 1996
Also: OSTEOPATHIC MANIPULATIVE MEDICINE
NPI: 1295781359
Practice Locations (1)
RIDGECREST REGIONAL HOSPITAL
1111 N CHINA LAKE BLVD
RIDGECREST, CA 935553131
7604993855
Source: CMS National Downloadable File, September 2026.