Medical school: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated: 1999
NPI: 1417985581
Practice Locations (1)
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
25828 REDLANDS BLVD, SUITE 102
REDLANDS, CA 923738451
9095586600
Source: CMS National Downloadable File, September 2026.