Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 1987
NPI: 1669400388
Practice Locations (2)
20400 LAKE CHABOT RD, SUITE 301
Castro Valley, CA 945465316
20400 LAKE CHABOT RD, SUITE 301
CASTRO VALLEY, CA 945465316
5108896673
Source: CMS National Downloadable File, September 2026.