Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 1992
Also: SPORTS MEDICINE
NPI: 1669472148
Practice Locations (1)
3140 RED HILL AVE, SUITE 120
COSTA MESA, CA 926263400
9492631242
Source: CMS National Downloadable File, September 2026.