Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1990
Also: GENERAL SURGERY, THORACIC SURGERY, VASCULAR SURGERY
NPI: 1295823292
Practice Locations (1)
PERMANENTE MEDICAL GROUP INC
7373 W LANE
STOCKTON, CA 952103377
2094762000
Source: CMS National Downloadable File, September 2026.