Medical school: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated: 1999
NPI: 1164529350
Practice Locations (1)
INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC
1302 W CRAIG RD, SUITE A
N LAS VEGAS, NV 890320247
7024738380
Source: CMS National Downloadable File, September 2026.