Medical school: INDIANA MEDICAL COLLEGE, SCHOOL OF MEDICINE OF PURDUE UNIVERSITY
Graduated: 2010
NPI: 1184914327
Practice Locations (2)
2825 E BARNETT RD
MEDFORD, OR 975048332
2825 E BARNETT RD MSS
MEDFORD, OR 975048332
Source: CMS National Downloadable File, September 2026.