Medical school: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated: 1999
Offers telehealth
NPI: 1902935794
Practice Locations (1)
PERMANENTE MEDICAL GROUP INC
401 BICENTENNIAL WAY
SANTA ROSA, CA 954032149
7073934000
Source: CMS National Downloadable File, September 2026.