Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 1984
NPI: 1912968041
Practice Locations (2)
SONORAN RADIOLOGY LTD
SAN RAFAEL, CA 94901
8329152534
MODESTO RADIOLOGICAL MEDICAL GROUP INC
7 OAKMONT CT
SAN RAFAEL, CA 949011235
2095763626
Source: CMS National Downloadable File, September 2026.