Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 1980
NPI: 1790780658
Practice Locations (2)
6113 N FRESNO ST
FRESNO, CA 937108622
6113 N FRESNO ST, SUITE 101
FRESNO, CA 937108622
5594382777
Source: CMS National Downloadable File, September 2026.