Medical school: UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduated: 2021
NPI: 1982284600
Practice Locations (1)
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
6640 ALTON PKWY
IRVINE, CA 926183734
9499325000
Source: CMS National Downloadable File, September 2026.