Medical school: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2014
Also: MICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
NPI: 1366860884
Practice Locations (1)
ILLINOIS DERMATOLOGY INSTITUTE, LLC
3190 LANCER ST
PORTAGE, IN 463684488
2197643600
Source: CMS National Downloadable File, September 2026.