Medical school: ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated: 2018
Offers telehealth
NPI: 1255835526
Practice Locations (1)
ARIZONA STATE UROLOGICAL INSTITUTE LLC
36493 N GANTZEL RD, SUITE 100
SAN TAN VALLEY, AZ 851407345
4803940200
Source: CMS National Downloadable File, September 2026.