Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2023
NPI: 1174218085
Practice Locations (2)
PO BOX, SUITE 909
Louisville, KY 402010909
PO BOX, SUITE 909
LOUISVILLE, KY 40201
Source: CMS National Downloadable File, September 2026.