Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1972
Also: INTERNAL MEDICINE
Offers telehealth
NPI: 1447295357
Practice Locations (1)
PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION
901 WILSHIRE BLVD, FL 2
SANTA MONICA, CA 904011854
3108298908
Source: CMS National Downloadable File, September 2026.