Medical school: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1976
NPI: 1811925183
Practice Locations (2)
2319 E WASHINGTON BLVD, SUITE 2
PASADENA, CA 911041945
2319 E WASHINGTON BLVD, SUITE 2
PASADENA, CA 911041945
6267978800
Source: CMS National Downloadable File, September 2026.