Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2012
NPI: 1396003836
Practice Locations (1)
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
6201 HARRY HINES BLVD
DALLAS, TX 753909201
2146452353
Source: CMS National Downloadable File, September 2026.