Medical school: KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Graduated: 2011
NPI: 1518256098
Practice Locations (1)
BEACON MEDICAL GROUP INC
615 N MICHIGAN ST FL, 1 BEACON MEDICAL GROUP HOSPITAL SPEC
SOUTH BEND, IN 466011033
5746473050
Source: CMS National Downloadable File, September 2026.