Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 2005
Also: MAXILLOFACIAL SURGERY, PLASTIC AND RECONSTRUCTIVE SURGERY
NPI: 1043433535
Practice Locations (1)
PERMANENTE MEDICAL GROUP INC
4601 DALE RD
MODESTO, CA 953569718
2097355000
Source: CMS National Downloadable File, September 2026.