Medical school: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated: 2007
NPI: 1972793917
Practice Locations (2)
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
200 UCLA MED PLAZA, B265
LOS ANGELES, CA 900246951
3108259304
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
18300 ROSCOE BLVD
NORTHRIDGE, CA 913254105
8188858500
Source: CMS National Downloadable File, September 2026.