Medical school: UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated: 1991
NPI: 1467462549
Practice Locations (1)
PROVIDENCE ANCHORAGE ANESTHESIA MEDICAL GROUP PC
3300 PROVIDENCE DR
ANCHORAGE, AK 995084620
9075610005
Source: CMS National Downloadable File, September 2026.