Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1996
Also: PLASTIC AND RECONSTRUCTIVE SURGERY
NPI: 1720070113
Practice Locations (2)
1800 SULLIVAN AVE RM, SUITE 411
Daly City, CA 940152224
1800 SULLIVAN AVE
DALY CITY, CA 940152224
6509943223
Source: CMS National Downloadable File, September 2026.