Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 2002
NPI: 1649384074
Practice Locations (2)
800 E 5TH ST
ONTARIO, CA 917642432
9099848629
255 E BONITA AVE
POMONA, CA 917671923
9094501058
Source: CMS National Downloadable File, September 2026.