Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1999
NPI: 1205821303
Practice Locations (1)
OPTUMCARE FLORIDA, LLC
1120 10TH ST E, OPTUM PALMETTO
PALMETTO, FL 342214134
9418477903
Source: CMS National Downloadable File, September 2026.