Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 2013
NPI: 1861831711
Practice Locations (1)
PERMANENTE MEDICAL GROUP INC
3554 ROUND BARN BLVD
SANTA ROSA, CA 954030929
7075713835
Source: CMS National Downloadable File, September 2026.