Medical school: UN OF CALIFORNIA, IRVINE, COLLEGE OF MEDICINE
Graduated: 1973
Also: EMERGENCY MEDICINE
NPI: 1710939988
Practice Locations (1)
DEPARTMENT OF STATE HOSPITALS
10333 EL CAMINO REAL, ATASCADERO STATE HOSPITAL
ATASCADERO, CA 934237001
9166518811
Source: CMS National Downloadable File, September 2026.