Medical school: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2020
NPI: 1346860939
Practice Locations (2)
SSM HEALTH CARE GROUP
1201 S GRAND BLVD
SAINT LOUIS, MO 631041016
3146172000
SSM HEALTH SLU HOSPITAL ANESTHESIA PHYSICIAN BILLING LLC
1201 S GRAND BLVD
SAINT LOUIS, MO 631041016
3142578000
Source: CMS National Downloadable File, September 2026.