Medical school: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated: 2007
NPI: 1336352806
Practice Locations (1)
BEACON MEDICAL GROUP INC
6913 N MAIN ST, 100 BEACON MEDICAL GROUP NEUROLOGY
GRANGER, IN 465308039
5746478542
Source: CMS National Downloadable File, September 2026.