Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1700994449
Practice Locations (2)
1250 S BEVERLY GLEN BLVD
LOS ANGELES, CA 900245204
4800 T REX AVE, SUITE 200
BOCA RATON, FL 334314479
Source: CMS National Downloadable File, September 2026.