Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 2019
NPI: 1275092108
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
260 INTERNATIONAL CIR
SAN JOSE, CA 951191130
4089723000
UNIVERSITY OF UTAH ADULT SERVICES
50 N MEDICAL DR
SALT LAKE CITY, UT 841320100
8015856387
Source: CMS National Downloadable File, September 2026.