Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1991
NPI: 1841472826
Practice Locations (1)
1180 N INDIAN CANYON DR, SUITE W200
PALM SPRINGS, CA 922624876
2146290339
Source: CMS National Downloadable File, September 2026.