Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2002
NPI: 1669565321
Practice Locations (1)
COUNTY OF SANTA CLARA
143 N MAIN ST, VLY HLTH C MILPITAS
MILPITAS, CA 950354322
4088855000
Source: CMS National Downloadable File, September 2026.