Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated: 2022
NPI: 1346983814
Practice Locations (2)
720 WASHINGTON AVE SE, SUITE 300
Minneapolis, MN 554142904
720 WASHINGTON AVE SE, SUITE 300
MINNEAPOLIS, MN 554142904
Source: CMS National Downloadable File, September 2026.