Medical school: NATIONAL UNIVERSITY OF ARTS AND SCIENCES, MEDICAL DEPARTMENT
Graduated: 1991
NPI: 1548290422
Practice Locations (2)
5330 PRIMROSE DR, SUITE 240
Fair Oaks, CA 956283542
5330 PRIMROSE DR, SUITE 240
FAIR OAKS, CA 956283542
9163686449
Source: CMS National Downloadable File, September 2026.