Medical school: CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1997
NPI: 1275595019
Practice Locations (2)
SUTTER BAY MEDICAL FOUNDATION
3200 KEARNEY ST
FREMONT, CA 945382299
5104901222
SUTTER BAY MEDICAL FOUNDATION
3100 SUMMIT ST, FL 2
OAKLAND, CA 946093412
5108698865
Source: CMS National Downloadable File, September 2026.