Medical school: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1013007848
Practice Locations (2)
STANFORD HEALTH CARE
401 QUARRY RD
PALO ALTO, CA 943041419
6507234000
STANFORD HEALTH CARE
300 PASTEUR DR
STANFORD, CA 943052200
6507234000
Source: CMS National Downloadable File, September 2026.