Medical school: UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Graduated: 2011
NPI: 1164710091
Practice Locations (1)
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
201 N WASHINGTON ST
FALLS CHURCH, VA 220464518
7032374000
Source: CMS National Downloadable File, September 2026.