Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1999
NPI: 1760434062
Practice Locations (1)
UT REGIONAL ONE PHYSICIANS INC
877 JEFFERSON AVE
MEMPHIS, TN 381032807
9015458336
Source: CMS National Downloadable File, September 2026.