Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1997
NPI: 1639112873
Practice Locations (2)
2166 SHAW AVE
CLOVIS, CA 936118901
5593267349
CEP AMERICA - CALIFORNIA
869 N CHERRY ST
TULARE, CA 932742207
5596880821
Source: CMS National Downloadable File, September 2026.