Medical school: UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduated: 1993
NPI: 1154742831
Practice Locations (1)
INDIAN HEALTH CENTER OF SANTA CLARA VALLEY
1333 MERIDIAN AVE
SAN JOSE, CA 951255212
40844534003730
Source: CMS National Downloadable File, September 2026.