Medical school: WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1995
Also: CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE
NPI: 1659427243
Practice Locations (1)
PROVIDENCE MEDICAL FOUNDATION
2773 HARRIS ST, SUITE D
EUREKA, CA 955034866
7144494800
Source: CMS National Downloadable File, September 2026.