Medical school: ST. LOUIS COLLEGE OF PHYSICIANS AND SURGEONS
Graduated: 2003
Offers telehealth
NPI: 1003013715
Practice Locations (1)
COUNTY OF SANTA CLARA
751 S BASCOM AVE, SANTA CLARA VLY MED
SAN JOSE, CA 951282604
4088855000
Source: CMS National Downloadable File, September 2026.