Medical school: NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated: 2021
Offers telehealth
NPI: 1063048676
Practice Locations (1)
UNIVERSITY OF UTAH SPECIALTY SERVICES
50 N MEDICAL DR, UNIVERSITY OF UTAH HOSPITAL PMANDR
SALT LAKE CITY, UT 841320100
8015876336
Source: CMS National Downloadable File, September 2026.