Medical school: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated: 1999
NPI: 1881600328
Practice Locations (1)
SAN MATEO ORTHOPEDIC MEDICAL GROUP INC
100 S ELLSWORTH AVE, SUITE 301
SAN MATEO, CA 944013931
65034208541021
Source: CMS National Downloadable File, September 2026.