Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, BRADENTON
Graduated: 2018
Offers telehealth
NPI: 1356831630
Practice Locations (1)
BAPTIST UROLOGY INC
1348 S 18TH ST, SUITE 230
FERNANDINA BEACH, FL 320344785
9042772003
Source: CMS National Downloadable File, September 2026.