Medical school: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2002
NPI: 1174596043
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
1 QUALITY DR
VACAVILLE, CA 956889494
7076244000
PERMANENTE MEDICAL GROUP INC
975 SERENO DR
VALLEJO, CA 945892441
7076511000
Source: CMS National Downloadable File, September 2026.