Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1989
NPI: 1750549283
Practice Locations (2)
3800 KILROY AIRPORT WAY, SUITE 100
Long Beach, CA 908066818
3800 KILROY AIRPORT WAY, SUITE 100
LONG BEACH, CA 908066818
Source: CMS National Downloadable File, September 2026.