Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 2000
NPI: 1093742603
Practice Locations (3)
COUNTY OF SANTA CLARA
2105 FOREST AVE
SAN JOSE, CA 951281425
4088855000
COUNTY OF SANTA CLARA
751 S BASCOM AVE
SAN JOSE, CA 951282604
4088855000
COUNTY OF SANTA CLARA
751 S BASCOM AVE, SANTA CLARA VLY MED
SAN JOSE, CA 951282604
4088855000
Source: CMS National Downloadable File, September 2026.