Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2016
NPI: 1063866028
Practice Locations (1)
PERMANENTE MEDICAL GROUP INC
280 HOSPITAL PKWY
SAN JOSE, CA 951191103
4089723000
Source: CMS National Downloadable File, September 2026.