Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2006
NPI: 1669676292
Practice Locations (2)
IES COLORADO PLLC
1375 E 19TH AVE
DENVER, CO 802181114
3038122000
IES OBS COLORADO PLLC
1375 E 19TH AVE
DENVER, CO 802181114
3038122000
Source: CMS National Downloadable File, September 2026.