Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1994
NPI: 1407934599
Practice Locations (1)
GOLDEN STATE DERMATOLOGY ASSOCIATES, INC.
801 S HAM LN, SUITE A
LODI, CA 952427502
2093333376
Source: CMS National Downloadable File, September 2026.