Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2020
NPI: 1306473772
Practice Locations (2)
KINGMAN HEALTHCARE INC
3269 N STOCKTON HILL RD
KINGMAN, AZ 864093619
9287572101
MAYO CLINIC
200 1ST ST SW
ROCHESTER, MN 559050001
5072842511
Source: CMS National Downloadable File, September 2026.