Medical school: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2020
NPI: 1316507593
Practice Locations (2)
5820 OWENS DR BLDG E 2ND FLOOR
Pleasanton, CA 945883900
PO BOX, SUITE 276950
SACRAMENTO, CA 95827
Source: CMS National Downloadable File, September 2026.