Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2002
NPI: 1336179415
Practice Locations (1)
UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA
5860 LOSEE RD, SUITE 145
NORTH LAS VEGAS, NV 890816596
7023832273
Source: CMS National Downloadable File, September 2026.