Medical school: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1983
Also: GENERAL SURGERY
NPI: 1629076856
Practice Locations (1)
8415 GRANT AVE
LA MESA, CA 919415303
6194649876
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Medical school: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1983
Also: GENERAL SURGERY
NPI: 1629076856
8415 GRANT AVE
LA MESA, CA 919415303
6194649876
Source: CMS National Downloadable File, September 2026.