Medical school: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1987
NPI: 1497721724
Practice Locations (2)
REGENTS OF THE UNIVERSITY OF CALIFORNIA
447 N EL CAMINO REAL
ENCINITAS, CA 920241302
8586577000
REGENTS OF THE UNIVERSITY OF CALIFORNIA
16950 VIA TAZON
SAN DIEGO, CA 921271607
8009268273
Source: CMS National Downloadable File, September 2026.