Medical school: UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated: 2024
NPI: 1386523173
Practice Locations (2)
7370 E GOLD DUST AVE, RM 212
SCOTTSDALE, AZ 852581025
29222 RANCHO VIEJO RD, SUITE 127
San Juan Capistrano, CA 926751049
Source: CMS National Downloadable File, September 2026.