Graduated: 2014
NPI: 1023424462
Practice Locations (2)
ASSOCIATED ANESTHESIOLOGISTS OF FORT WAYNE PC
7950 W JEFFERSON BLVD, LUTHERAN HOSPITAL
FORT WAYNE, IN 468044140
2604357001
UNIVERSITY HEALTH SHREVEPORT, LLC
1541 KINGS HWY
SHREVEPORT, LA 711034228
3186260000
Source: CMS National Downloadable File, September 2026.