Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1987
NPI: 1619957776
Practice Locations (2)
VITUITY-CALIFORNIA OBSERVATION SERVICES PC
1 MEDICAL PLAZA DR
ROSEVILLE, CA 956613037
9167811000
CEP AMERICA - CALIFORNIA
1 MEDICAL PLAZA DR
ROSEVILLE, CA 956613037
9167811000
Source: CMS National Downloadable File, September 2026.