Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2015
NPI: 1730566282
Practice Locations (3)
COUNTY OF SANTA CLARA
751 S BASCOM AVE, SANTA CLARA VLY MED
SAN JOSE, CA 951282604
4088855000
SANTA BARBARA COUNTY AUDITOR
4444 CALLE REAL
SANTA BARBARA, CA 931101002
8056815190
LEGACY EMANUEL HOSPITAL AND HEALTH CENTER
1225 NE 2ND AVE
PORTLAND, OR 972322003
5039448000
Source: CMS National Downloadable File, September 2026.