Medical school: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated: 1997
NPI: 1972685378
Practice Locations (2)
5 MEDICAL PLAZA DR, SUITE 110
Roseville, CA 956612866
5 MEDICAL PLAZA DR, SUITE 110
ROSEVILLE, CA 956612866
9164831493
Source: CMS National Downloadable File, September 2026.