Medical school: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated: 1992
NPI: 1639105745
Practice Locations (1)
TEAM PHYSICIANS OF CALIFORNIA MEDICAL GROUP INC
975 S FAIRMONT AVE
LODI, CA 952405118
2093343411
Source: CMS National Downloadable File, September 2026.