Medical school: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated: 1989
NPI: 1619947439
Practice Locations (3)
2350 W EL CAMINO REAL, FL 2
MOUNTAIN VIEW, CA 940406203
2025 SOQUEL AVE
Santa Cruz, CA 950621323
2423 W MARCH LN, SUITE 100
STOCKTON, CA 952078250
Source: CMS National Downloadable File, September 2026.