Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2017
NPI: 1508395823
Practice Locations (1)
INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC
4730 S FORT APACHE RD, SUITE 150
LAS VEGAS, NV 891477959
7029401570
Source: CMS National Downloadable File, September 2026.