Medical school: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated: 2021
NPI: 1790202935
Practice Locations (2)
COUNTY OF SANTA CLARA
751 S BASCOM AVE, SANTA CLARA VLY MED
SAN JOSE, CA 951282604
4088855000
STANFORD HEALTH CARE
300 PASTEUR DR
STANFORD, CA 943052200
6507234000
Source: CMS National Downloadable File, September 2026.