Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1992
Also: INTERNAL MEDICINE
NPI: 1548319965
Practice Locations (2)
11633 SAN VICENTE BLVD, SUITE 314
LOS ANGELES, CA 900496511
11633 SAN VICENTE BLVD, SUITE 314
LOS ANGELES, CA 900496514
3102070020
Source: CMS National Downloadable File, September 2026.