Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2021
NPI: 1356920458
Practice Locations (3)
2130 CITRACADO PKWY, SUITE 210
ESCONDIDO, CA 920294149
120 CRAVEN RD, SUITE 201
San Marcos, CA 920784237
1415 E KINCAID ST
MOUNT VERNON, WA 982744126
Source: CMS National Downloadable File, September 2026.