Medical school: JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Graduated: 1966
Also: GENERAL SURGERY, THORACIC SURGERY
NPI: 1619019312
Practice Locations (1)
1800 SULLIVAN AVE, RM 507
DALY CITY, CA 940152225
6506977003
Source: CMS National Downloadable File, September 2026.