Medical school: BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1972681047
Practice Locations (2)
TAHOE FOREST HOSPITAL DISTRICT
10121 PINE AVE
TRUCKEE, CA 961614835
5305876011
PERMANENTE MEDICAL GROUP INC
1515 NEWELL AVE
WALNUT CREEK, CA 945965120
9252954000
Source: CMS National Downloadable File, September 2026.