Medical school: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1994
Also: INTERVENTIONAL PAIN MANAGEMENT
NPI: 1164500781
Practice Locations (1)
PERMANENTE MEDICAL GROUP INC
395 HICKEY BLVD
DALY CITY, CA 940152770
6503015860
Source: CMS National Downloadable File, September 2026.