Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 1989
Also: GENERAL PRACTICE, PATHOLOGY, PREVENTIVE MEDICINE
NPI: 1295936615
Practice Locations (1)
2301 W EL SEGUNDO BLVD
HAWTHORNE, CA 902503315
3237572118
Source: CMS National Downloadable File, September 2026.