Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 1986
NPI: 1568439362
Practice Locations (2)
15000 LOS GATOS BLVD, SUITE 7
Los Gatos, CA 950322017
15000 LOS GATOS BLVD, SUITE 7
LOS GATOS, CA 950322017
4053563576
Source: CMS National Downloadable File, September 2026.