Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1980
Offers telehealth
NPI: 1669481594
Practice Locations (2)
13950 MILTON AVE, SUITE 404
WESTMINSTER, CA 926832939
15 GRUMMAN RD W, SUITE 1400
BETHPAGE, NY 117145029
Source: CMS National Downloadable File, September 2026.