Medical school: UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduated: 2003
Also: HEMATOLOGY/ONCOLOGY
NPI: 1962543397
Practice Locations (1)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
5601 DE SOTO AVE
WOODLAND HILLS, CA 913676701
8187192000
Source: CMS National Downloadable File, September 2026.