Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 2014
NPI: 1730507054
Practice Locations (1)
PERMANENTE MEDICAL GROUP INC
260 INTERNATIONAL CIR
SAN JOSE, CA 951191130
4089723000
Source: CMS National Downloadable File, September 2026.