Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2019
NPI: 1770144404
Practice Locations (1)
PERMANENTE MEDICAL GROUP INC
710 LAWRENCE EXPRESS WAY
SANTA CLARA, CA 950515173
4088511000
Source: CMS National Downloadable File, September 2026.