Medical school: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated: 2004
NPI: 1720054182
Practice Locations (1)
SHAWNEE MISSION MEDICAL CENTER INC
9301 W 74TH ST, 100 AHMG HEMATOLOGY ONCOLOGY AT SHAWNEE
MERRIAM, KS 662042217
9136329100
Source: CMS National Downloadable File, September 2026.