Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 2013
NPI: 1386987493
Practice Locations (1)
COUNTY OF SANTA CLARA
750 S BASCOM AVE, VLY HLTH CEN BASCOM
SAN JOSE, CA 951282603
4088855000
Source: CMS National Downloadable File, September 2026.