Medical school: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduated: 2001
Also: GENERAL SURGERY
NPI: 1326269648
Practice Locations (1)
SSM MEDICAL GROUP INC
12266 DE PAUL DR, SUITE 305
BRIDGETON, MO 630442514
3147700991
Source: CMS National Downloadable File, September 2026.