Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 2010
NPI: 1700100575
Practice Locations (1)
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
7601 PRESTON RD, P3600
PLANO, TX 750243214
4693033000
Source: CMS National Downloadable File, September 2026.