Medical school: NOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE
Graduated: 2016
NPI: 1477912319
Practice Locations (2)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
801 S PAULINA ST
CHICAGO, IL 606127210
3129967532
CHARLESTON AREA MEDICAL CENTER INC
415 MORRIS ST, SUITE 309
CHARLESTON, WV 253011853
3043883290
Source: CMS National Downloadable File, September 2026.