Medical school: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated: 2007
Also: GENERAL SURGERY
NPI: 1710137401
Practice Locations (1)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
6640 ALTON PKWY
IRVINE, CA 926183734
9499325000
Source: CMS National Downloadable File, September 2026.