Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 1971
NPI: 1457379836
Practice Locations (2)
2811 WILSHIRE BLVD, SUITE 508
Santa Monica, CA 904034803
2811 WILSHIRE BLVD, SUITE 508
SANTA MONICA, CA 904034803
4243874001
Source: CMS National Downloadable File, September 2026.