Medical school: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated: 2002
NPI: 1508052333
Practice Locations (3)
NORTHERN INYO HEALTHCARE DISTRICT
150 PIONEER LN
BISHOP, CA 935142556
7608735811
SOUTHERN MONO HEALTH CARE DISTRICT
85 SIERRA PARK RD
MAMMOTH LAKES, CA 935462073
7609343311
SANSUM CLINIC
4151 FOOTHILL RD
SANTA BARBARA, CA 931101110
8056811760
Source: CMS National Downloadable File, September 2026.