Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1973
NPI: 1528149036
Practice Locations (2)
323 N PRAIRIE AVE, SUITE 217
INGLEWOOD, CA 903014504
323 N PRAIRIE AVE, SUITE 217
INGLEWOOD, CA 903014506
3106710909
Source: CMS National Downloadable File, September 2026.