Medical school: ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated: 2020
NPI: 1225665078
Practice Locations (1)
BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC
14502 W MEEKER BLVD
SUN CITY, AZ 853755282
6235244000
Source: CMS National Downloadable File, September 2026.