Medical school: UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1104827757
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
2025 MORSE AVE
SACRAMENTO, CA 958252115
9169735000
PERMANENTE MEDICAL GROUP INC
7373 W LANE
STOCKTON, CA 952103377
2094762000
Source: CMS National Downloadable File, September 2026.