Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2016
NPI: 1346603560
Practice Locations (1)
BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA
1111 S ST LOUIS AVE
TULSA, OK 74120
9186194400
Source: CMS National Downloadable File, September 2026.