Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 2011
NPI: 1154613370
Practice Locations (1)
PERMANENTE MEDICAL GROUP INC
39400 PASEO PADRE PKWY
FREMONT, CA 945382310
5102483000
Source: CMS National Downloadable File, September 2026.