Medical school: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated: 1999
NPI: 1912908039
Practice Locations (1)
GILA RIVER HEALTH CARE CORPORATION
483 W SEED FARM RD, HU HU KAM MEMORIAL HOSP
SACATON, AZ 851470038
6025281200
Source: CMS National Downloadable File, September 2026.