Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 2012
NPI: 1194081943
Practice Locations (1)
COUNTY OF SANTA CLARA
750 S BASCOM AVE, VLY HLTH CEN BASCOM
SAN JOSE, CA 951282603
4088855000
Source: CMS National Downloadable File, September 2026.