Medical school: TUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1967
Also: GENERAL SURGERY
NPI: 1851391593
Practice Locations (1)
GOLDEN STATE PROVIDERS, A MEDICAL CORPORATION
227 W JANSS RD, SUITE 340
THOUSAND OAKS, CA 913601879
8058529100
Source: CMS National Downloadable File, September 2026.