Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1993
Also: PEDIATRIC MEDICINE
NPI: 1225119449
Practice Locations (1)
THE CURATORS OF THE UNIVERSITY OF MISSOURI
404 N KEENE ST
COLUMBIA, MO 652016626
5738759000
Source: CMS National Downloadable File, September 2026.