Medical school: YALE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1983
Offers telehealth
NPI: 1417972480
Practice Locations (1)
LOS ANGELES UROLOGY MEDICAL GROUP INC
1701 E CESAR E CHAVEZ AVE, SUITE 500
LOS ANGELES, CA 900332488
90924042310
Source: CMS National Downloadable File, September 2026.