Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 2016
NPI: 1316301773
Practice Locations (2)
ALTRU HEALTH SYSTEM
1200 S COLUMBIA RD
GRAND FORKS, ND 582014036
7017805000
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER EL PASO
4815 ALAMEDA AVE
EL PASO, TX 799052705
9152154956
Source: CMS National Downloadable File, September 2026.