Medical school: PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduated: 2002
NPI: 1710976295
Practice Locations (1)
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
5200 HARRY HINES BLVD
DALLAS, TX 752357709
2145908000
Source: CMS National Downloadable File, September 2026.