Medical school: UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated: 2003
NPI: 1538222104
Practice Locations (1)
ELLISON MEDICAL GROUP VEIN TREATMENT CENTER
5330 CARROLL CANYON RD, SUITE 140
SAN DIEGO, CA 921213758
8589267678
Source: CMS National Downloadable File, September 2026.