Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 2021
NPI: 1275112328
Practice Locations (1)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1009 S WOOD ST
CHICAGO, IL 606123747
3123554300
Source: CMS National Downloadable File, September 2026.