Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2005
NPI: 1609087915
Practice Locations (1)
WASHINGTON UNIVERSITY
400 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 631101014
3144547900
Source: CMS National Downloadable File, September 2026.