Medical school: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1995
NPI: 1306884754
Practice Locations (2)
SHINE MMG INC
130 N BRAND BLVD, SUITE 204
GLENDALE, CA 912032617
8187450070
NORTHSIDE EMERGENCY ASSOCIATES, P.C.
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 301158015
7702241000
Source: CMS National Downloadable File, September 2026.