Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 2010
NPI: 1174733588
Practice Locations (1)
ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES OF WAUKESHA, LTD
1111 DELAFIELD ST, SUITE 222
WAUKESHA, WI 531883403
2625478665
Source: CMS National Downloadable File, September 2026.