Medical school: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1987
NPI: 1760541189
Practice Locations (3)
PO BOX
LOS ANGELES, CA 900742502
COUNTY OF SANTA CLARA
1993 MCKEE RD
SAN JOSE, CA 951161406
4088855000
751 S BASCOM AVE
SAN JOSE, CA 951282604
Source: CMS National Downloadable File, September 2026.