Medical school: UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated: 2005
NPI: 1609007152
Practice Locations (1)
GREAT LAKES PATHOLOGISTS SC
8901 W LINCOLN AVE, WEST ALLIS MEMORIAL HOSPITAL
WEST ALLIS, WI 532272409
4143287950
Source: CMS National Downloadable File, September 2026.