Medical school: UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduated: 1994
NPI: 1225112220
Practice Locations (3)
PERMANENTE MEDICAL GROUP INC
4601 DALE RD
MODESTO, CA 953569718
2097355000
PERMANENTE MEDICAL GROUP INC
401 BICENTENNIAL WAY
SANTA ROSA, CA 954032149
7073934000
PERMANENTE MEDICAL GROUP INC
7373 W LANE
STOCKTON, CA 952103377
2094762000
Source: CMS National Downloadable File, September 2026.