Medical school: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2006
Also: FAMILY PRACTICE
NPI: 1871751073
Practice Locations (1)
SCRIPPS HEALTH INPATIENT PROVIDERS MEDICAL GROUP INC
4020 5TH AVE, SUITE 401
SAN DIEGO, CA 921032113
6198494469
Source: CMS National Downloadable File, September 2026.