Medical school: UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduated: 1999
NPI: 1720133705
Practice Locations (2)
COUNTY OF SAN MATEO
22 W 39TH AVE, HOS316MS
SAN MATEO, CA 944034364
COUNTY OF SAN MATEO
222 W 39TH AVE
SAN MATEO, CA 944034364
Source: CMS National Downloadable File, September 2026.