Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2007
NPI: 1134327398
Practice Locations (2)
REGENTS OF THE UNIV OF CA
4860 Y ST
SACRAMENTO, CA 958172307
REGENTS OF THE UNIV OF CA
4861 Y ST
SACRAMENTO, CA 958172307
9167342525
Source: CMS National Downloadable File, September 2026.