Medical school: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated: 1969
NPI: 1407932395
Practice Locations (2)
216 W PERKINS ST
UKIAH, CA 954824800
216 W PERKINS ST, SUITE 103
UKIAH, CA 954824858
7074621640
Source: CMS National Downloadable File, September 2026.