Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1998
Offers telehealth
NPI: 1669456174
Practice Locations (1)
REGENTS OF THE UNIVERSITY OF CALIFORNIA
1620 E ROSEVILLE PKWY, SUITE 200
ROSEVILLE, CA 956613303
9167837109
Source: CMS National Downloadable File, September 2026.