Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1992
Also: INTERVENTIONAL RADIOLOGY
NPI: 1851468904
Practice Locations (1)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
8033 VENTURA CANYON AVE
PANORAMA CITY, CA 914026312
8183752000
Source: CMS National Downloadable File, September 2026.