Medical school: STANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1978
NPI: 1609971233
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.