Medical school: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2021
NPI: 1013594803
Practice Locations (2)
CEPAMERICA ILLINOIS LLP
1 SAINT ELIZABETH BLVD
O FALLON, IL 622691099
6182342120
MERCY HOSPITAL SOUTH
10010 KENNERLY RD
SAINT LOUIS, MO 631282106
3145251906
Source: CMS National Downloadable File, September 2026.