Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2012
NPI: 1629497763
Practice Locations (1)
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
200 MEDICAL PLZ, SUITE 430
LOS ANGELES, CA 900956957
3107947274
Source: CMS National Downloadable File, September 2026.