Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 2021
NPI: 1508447194
Practice Locations (1)
EISENHOWER MEDICAL CENTER
39950 VISTA DEL SOL
RANCHO MIRAGE, CA 922703206
7603400053
Source: CMS National Downloadable File, September 2026.