Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 2016
NPI: 1235592601
Practice Locations (1)
LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE
1541 KINGS HWY
SHREVEPORT, LA 711034228
3186755000
Source: CMS National Downloadable File, September 2026.