Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2020
NPI: 1689202871
Practice Locations (1)
PERMANENTE MEDICAL GROUP INC
39400 PASEO PADRE PKWY
FREMONT, CA 945382310
5102483000
Source: CMS National Downloadable File, September 2026.