Medical school: UN OF CALIFORNIA, IRVINE, COLLEGE OF MEDICINE
Graduated: 2007
NPI: 1083888069
Practice Locations (1)
SOUTHLAKE PHYSICAL MEDICINE PLLC
1500 W SOUTHLAKE BLVD, SUITE 120
SOUTHLAKE, TX 760925951
8178987400
Source: CMS National Downloadable File, September 2026.