Graduated: 1987
NPI: 1619974409
Practice Locations (2)
EISENHOWER MEDICAL CENTER
67555 E PALM CANYON DR
CATHEDRAL CITY, CA 922345412
EISENHOWER MEDICAL CENTER
39950 VISTA DEL SOL
RANCHO MIRAGE, CA 922703206
7603400053
Source: CMS National Downloadable File, September 2026.