Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2002
NPI: 1487391819
Practice Locations (3)
7745 CAMINO COLEGIO
ROHNERT PARK, CA 949285526
550 DOYLE PARK DR, SUITE 5
SANTA ROSA, CA 954054570
5102243590
PO BOX, SUITE 3485
Tustin, CA 927813485
Source: CMS National Downloadable File, September 2026.