Medical school: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated: 2022
NPI: 1013633197
Practice Locations (2)
REGENTS OF THE UNIV OF CA
2315 STOCKTON BLVD
SACRAMENTO, CA 958172201
9167342011
PERMANENTE MEDICAL GROUP INC
250 HOSPITAL PKWY
SAN JOSE, CA 951191103
4089723000
Source: CMS National Downloadable File, September 2026.