Medical school: EDWARD VIA COL OF OSTEO MEDICINE-CAROLINAS CAMPUS
Graduated: 2017
NPI: 1104367499
Practice Locations (1)
UNIVERSITY OF LOUISVILLE PHYSICIANS INC
401 E CHESTNUT ST, SUITE 610
LOUISVILLE, KY 402025711
5028136600
Source: CMS National Downloadable File, September 2026.