Graduated: 2004
NPI: 1639340102
Practice Locations (2)
EISENHOWER MEDICAL CENTER
39000 BOB HOPE DR
RANCHO MIRAGE, CA 922703221
7603403911
EISENHOWER MEDICAL CENTER
39950 VISTA DEL SOL
RANCHO MIRAGE, CA 922703206
7603400053
Source: CMS National Downloadable File, September 2026.