Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2004
NPI: 1750407714
Practice Locations (1)
WASHINGTON UNIVERSITY
1 BARNES JEWISH HOSPITAL PLZ, FL 3
SAINT LOUIS, MO 631101003
3143625641
Source: CMS National Downloadable File, September 2026.