Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1993
Offers telehealth
NPI: 1730123332
Practice Locations (1)
PERMANENTE MEDICAL GROUP INC
1550 GATEWAY BLVD
FAIRFIELD, CA 945336901
7074274000
Source: CMS National Downloadable File, September 2026.