Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 2022
NPI: 1760127963
Practice Locations (2)
5820 OWENS DR BLDG E 2ND FL
PLEASANTON, CA 945883900
PO BOX, SUITE 276950
SACRAMENTO, CA 95827
Source: CMS National Downloadable File, September 2026.