Medical school: ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated: 2021
NPI: 1063092187
Practice Locations (1)
BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC
10401 W THUNDERBIRD BLVD
SUN CITY, AZ 853513004
6238324000
Source: CMS National Downloadable File, September 2026.