Medical school: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated: 1999
NPI: 1528130333
Practice Locations (1)
SOUTH ORANGE COUNTY SURGICAL MEDICAL GROUP INC
27799 MEDICAL CTR RD, SUITE 440
MISSION VIEJO, CA 926916400
9493641007
Source: CMS National Downloadable File, September 2026.