Graduated: 2004
NPI: 1407174782
Practice Locations (2)
UNIVERSITY OF KANSAS HOSPITAL AUTHORITY
4000 CAMBRIDGE ST
KANSAS CITY, KS 661600001
9135885000
THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
1021 MOREHEAD MEDICAL DR, SUITE A
CHARLOTTE, NC 282042990
9804422000
Source: CMS National Downloadable File, September 2026.