Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2004
Offers telehealth
NPI: 1609063262
Practice Locations (1)
COUNTY OF SANTA CLARA
751 S BASCOM AVE, SANTA CLARA VLY MED
SAN JOSE, CA 951282604
4088855000
Source: CMS National Downloadable File, September 2026.