Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1999
NPI: 1730307851
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
6600 BRUCEVILLE RD
SACRAMENTO, CA 958234671
9166882000
PERMANENTE MEDICAL GROUP INC
7373 W LANE
STOCKTON, CA 952103377
2094762000
Source: CMS National Downloadable File, September 2026.