Medical school: UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduated: 2016
NPI: 1366891327
Practice Locations (2)
DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY
HIGHWAY 191 AND HOSPITAL RD
CHINLE, AZ 865038000
92867470307030
CLEVELAND CLINIC
9500 EUCLID AVE
CLEVELAND, OH 441950001
2164448530
Source: CMS National Downloadable File, September 2026.