Medical school: UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduated: 2000
NPI: 1902866072
Practice Locations (2)
PERMANENTE MEDICAL GROUP INC
5615 SCOTTS VALLEY DR
SCOTTS VALLEY, CA 950663492
8314302700
PERMANENTE MEDICAL GROUP INC
75 NEILSON ST
WATSONVILLE, CA 950762468
8317244741
Source: CMS National Downloadable File, September 2026.