Medical school: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1998
Also: CRITICAL CARE (INTENSIVISTS)
NPI: 1144312125
Practice Locations (2)
105 N BASCOM AVE, SUITE 202
San Jose, CA 951281811
105 N BASCOM AVE, SUITE 202
SAN JOSE, CA 951281811
4089931500
Source: CMS National Downloadable File, September 2026.