Medical school: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1851341655
Practice Locations (2)
EL CAMINO HEALTH MEDICAL NETWORK LLC
75 N BASCOM AVE, SUITE 210
SAN JOSE, CA 951281874
4088715044
COUNTY OF SANTA CLARA
751 S BASCOM AVE, SANTA CLARA VLY MED
SAN JOSE, CA 951282604
4088855000
Source: CMS National Downloadable File, September 2026.