Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1989
NPI: 1629086269
Practice Locations (1)
CENTRAL CALIFORNIA FACULTY MEDICAL GROUP INC
2823 FRESNO ST
FRESNO, CA 937211324
5594596000
Source: CMS National Downloadable File, September 2026.