Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 1999
NPI: 1366586562
Practice Locations (1)
HAWAII PERMANENTE MEDICAL GROUP INC
55 MAUI LANI PKWY
WAILUKU, HI 967932416
8082436050
Source: CMS National Downloadable File, September 2026.