Medical school: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1790855971
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
4601 DALE RD
MODESTO, CA 953569718
2097355000
NORTH SHORE-LIJ MEDICAL PC
300 COMMUNITY DR
MANHASSET, NY 110303816
5165623058
Source: CMS National Downloadable File, September 2026.