Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2009
NPI: 1760625339
Practice Locations (1)
UNIVERSITY OF UTAH ADULT SERVICES
1950 CIRCLE OF HOPE DR
SALT LAKE CITY, UT 841125500
8015818793
Source: CMS National Downloadable File, September 2026.