Medical school: TOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON
Graduated: 2019
NPI: 1053871590
Practice Locations (1)
INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC
5320 S RAINBOW BLVD, SUITE 182
LAS VEGAS, NV 891181896
7023045827
Source: CMS National Downloadable File, September 2026.