Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 1982
Also: CRITICAL CARE (INTENSIVISTS)
Offers telehealth
NPI: 1548298060
Practice Locations (1)
153 W SPRUCE ST
FORT BRAGG, CA 954373024
7074621516
Source: CMS National Downloadable File, September 2026.