Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1998
Also: NUCLEAR MEDICINE
NPI: 1306812821
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
1 QUALITY DR
VACAVILLE, CA 956889494
7076244000
PERMANENTE MEDICAL GROUP INC
975 SERENO DR
VALLEJO, CA 945892441
7076511000
Source: CMS National Downloadable File, September 2026.