Medical school: TULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2020
NPI: 1104455872
Practice Locations (3)
5757 N DIXIE HWY
OAKLAND PARK, FL 333344135
3802 S 700
SALT LAKE CITY, UT 841061182
PO BOX, SUITE 27128
SALT LAKE CITY, UT 84127
Source: CMS National Downloadable File, September 2026.