Medical school: KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Graduated: 2014
NPI: 1477968634
Practice Locations (1)
HEALTHEAST MEDICAL RESEARCH INSTITUTE
1700 UNIVERSITY AVE W, 6TH FLOOR W
SAINT PAUL, MN 551043727
6512322273
Source: CMS National Downloadable File, September 2026.