Medical school: MEDICAL COLLEGE OF OHIO
Graduated: 2002
Offers telehealth
NPI: 1992890222
Practice Locations (2)
COUNTY OF SONOMA
140 S CLOVERDALE BLVD
CLOVERDALE, CA 954253710
7075654861
COUNTY OF SONOMA
2225 CHALLENGER WAY
SANTA ROSA, CA 954075441
7075654861
Source: CMS National Downloadable File, September 2026.