Medical school: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1790878247
Practice Locations (2)
COUNTY OF SANTA CLARA
500 TULLY RD
SAN JOSE, CA 951111917
4088855000
COUNTY OF SANTA CLARA
750 S BASCOM AVE, VLY HLTH CEN BASCOM
SAN JOSE, CA 951282603
4088855000
Source: CMS National Downloadable File, September 2026.