Medical school: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated: 2004
NPI: 1619009537
Practice Locations (1)
NEBRASKA ORTHOPAEDIC HOSPITAL LLC
2727 S 144TH ST, 150 EMERGENCY DEPARTMENT
OMAHA, NE 681445225
4026091500
Source: CMS National Downloadable File, September 2026.