Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 2017
NPI: 1316436066
Practice Locations (2)
9859 GRADUATE DRIVEWAY, UNIT 404
SAN DIEGO, CA 921312510
2370 GABLE RD
SAINT HELENS, OR 970512913
Source: CMS National Downloadable File, September 2026.