Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 1988
NPI: 1942385174
Practice Locations (2)
BEACON MEDICAL GROUP INC
900 I ST
LA PORTE, IN 463505533
2193241700
THREE RIVERS HEALTH SYSTEM INC
715 S HEALTH PKWY, THREE RIVERS SURG SERV
THREE RIVERS, MI 490938352
2692738471
Source: CMS National Downloadable File, September 2026.