Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2007
NPI: 1336478874
Practice Locations (1)
PERMANENTE MEDICAL GROUP INC
1200 EL CAMINO REAL
SOUTH SAN FRANCISCO, CA 940803208
6507422000
Source: CMS National Downloadable File, September 2026.