Medical school: UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduated: 1986
NPI: 1659445211
Practice Locations (1)
SOUTHERN CALIFORNIA NEURO MEDICAL SERVICES INC
4560 ADMIRALTY WAY, SUITE 352
MARINA DEL REY, CA 902925448
3103068876
Source: CMS National Downloadable File, September 2026.