Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1336299148
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
275 W MACARTHUR BLVD
OAKLAND, CA 946115641
5107521000
PERMANENTE MEDICAL GROUP INC
901 NEVIN AVE
RICHMOND, CA 948013143
5103071500
Source: CMS National Downloadable File, September 2026.