Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2022
NPI: 1083355846
Practice Locations (1)
OHI WEST MEDICAL GROUP LLC
603 7TH ST S
ST PETERSBURG, FL 337014719
7278936254
Source: CMS National Downloadable File, September 2026.