Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 2012
Also: DIAGNOSTIC RADIOLOGY
NPI: 1699013441
Practice Locations (1)
PERMANENTE MEDICAL GROUP INC
99 MONTECILLO RD
SAN RAFAEL, CA 949033308
4154442000
Source: CMS National Downloadable File, September 2026.