Medical school: ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated: 2004
NPI: 1386809440
Practice Locations (1)
UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA
1800 W CHARLESTON BLVD
LAS VEGAS, NV 891022329
7023832000
Source: CMS National Downloadable File, September 2026.