Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 1995
NPI: 1245341700
Practice Locations (3)
2299 MOWRY AVE, SUITE 3A
Fremont, CA 945381621
2299 MOWRY AVE
FREMONT, CA 945381621
2299 MOWRY AVE, SUITE 3A
FREMONT, CA 945381621
5107139898
Source: CMS National Downloadable File, September 2026.