Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 2008
NPI: 1265766026
Practice Locations (1)
UNIVERSITY OF UTAH PEDIATRIC ACUITY CARE
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 841131103
8016621234
Source: CMS National Downloadable File, September 2026.