Medical school: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated: 2025
NPI: 1447875224
Practice Locations (1)
GIBSON COMMUNITY HOSPITAL ASSOCIATION
1120 N MELVIN ST, GIBSON AREA HOSPITAL UROLOGY CLINIC
GIBSON CITY, IL 609361477
2177842212
Source: CMS National Downloadable File, September 2026.