Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2011
Also: HOSPITALIST
NPI: 1720492713
Practice Locations (1)
PROVIDENCE MEDICAL FOUNDATION
2700 DOLBEER ST
EUREKA, CA 955014736
7074458121
Source: CMS National Downloadable File, September 2026.