Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2003
NPI: 1235770918
Practice Locations (1)
BAPTIST HEALTH DEACONESS MEDICAL GROUP INC
200 CLINIC DR, FL 1
MADISONVILLE, KY 424311661
2708256680
Source: CMS National Downloadable File, September 2026.