Medical school: DREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2019
NPI: 1225598964
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
1650 LOS GAMOS DR
SAN RAFAEL, CA 949031850
4154447900
LEGACY CLINICS LLC
2222 NW LOVEJOY ST, SUITE 304
PORTLAND, OR 972105100
5034135787
Source: CMS National Downloadable File, September 2026.