Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 2000
Also: CRITICAL CARE (INTENSIVISTS)
NPI: 1396717385
Practice Locations (2)
COUNTY OF SANTA CLARA
751 S BASCOM AVE
SAN JOSE, CA 951282604
4088855000
COUNTY OF SANTA CLARA
751 S BASCOM AVE, SANTA CLARA VLY MED
SAN JOSE, CA 951282604
4088855000
Source: CMS National Downloadable File, September 2026.