Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 2002
NPI: 1437146214
Practice Locations (1)
OVERLAND PARK SURGICAL SPECIALTIES LLC
11725 W 112TH ST
OVERLAND PARK, KS 662102761
9134695452
Source: CMS National Downloadable File, September 2026.