Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2019
NPI: 1740741560
Practice Locations (1)
REGENTS OF THE UNIVERSITY OF CALIFORNIA
101 THE CITY DR S
ORANGE, CA 928683201
7144567002
Source: CMS National Downloadable File, September 2026.