Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated: 2011
NPI: 1174802250
Practice Locations (1)
UNIVERSITY OF UTAH SPECIALTY SERVICES
50 N MEDICAL DR, UNIVERSITY OF UTAH HOSPTIAL
SALT LAKE CITY, UT 841320100
8015876336
Source: CMS National Downloadable File, September 2026.