Medical school: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2022
NPI: 1750030656
Practice Locations (2)
5820 OWENS DR BLDG E 2ND FLOOR
Pleasanton, CA 945883900
5820 OWENS DR, BLDG E2ND
PLEASANTON, CA 945883900
Source: CMS National Downloadable File, September 2026.