Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1760597405
Practice Locations (2)
2451 PROFESSIONAL CT, SUITE 110
LAS VEGAS, NV 891280827
7022404242
2451 PROFESSIONAL CT, SUITE 180
LAS VEGAS, NV 891280827
7023444996
Source: CMS National Downloadable File, September 2026.