Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated: 2020
NPI: 1447888565
Practice Locations (1)
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS FACULTY G
2000 CANAL ST
NEW ORLEANS, LA 701123018
5047023000
Source: CMS National Downloadable File, September 2026.