Medical school: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated: 2004
NPI: 1063435717
Practice Locations (2)
PO BOX
LOS ANGELES, CA 90074
7042 COUNTY RD, SUITE 6
Kitts Hill, OH 456458824
Source: CMS National Downloadable File, September 2026.