Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 2025
NPI: 1639880560
Practice Locations (3)
4060 FAIRMOUNT AVE
SAN DIEGO, CA 921051608
4305 UNIVERSITY AVE, SUITE 345
SAN DIEGO, CA 921051645
21410 NE 14TH STREET
Sammamish, WA 98074
Source: CMS National Downloadable File, September 2026.