Medical school: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated: 1978
NPI: 1386636611
Practice Locations (2)
ASUTA MEDICAL GROUP INC
14545 FRIAR ST
VAN NUYS, CA 914112357
ASUTA MEDICAL GROUP INC
14545 FRIAR ST
VAN NUYS, CA 914114719
3236363869
Source: CMS National Downloadable File, September 2026.