Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1976
Offers telehealth
NPI: 1710030747
Practice Locations (1)
161 THUNDER DR, SUITE 102
VISTA, CA 920836051
7606314000
Source: CMS National Downloadable File, September 2026.