Medical school: UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduated: 2008
NPI: 1649442476
Practice Locations (1)
PENN STATE HEALTH MEDICAL GROUP LLC
2605 WILLOW ST PIKE, PENN STATE MED GRP SOUTH LANCASTER
WILLOW STREET, PA 175849510
7174642838
Source: CMS National Downloadable File, September 2026.