Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2007
NPI: 1336305341
Practice Locations (1)
REGENTS OF THE UNIVERSITY OF CALIFORNIA
6655 ALVARADO RD
SAN DIEGO, CA 921205208
8586577000
Source: CMS National Downloadable File, September 2026.