Medical school: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated: 2018
NPI: 1770057812
Practice Locations (2)
WICHITA UROLOGY GROUP PA
2626 N WEBB RD
Wichita, KS 672268110
WICHITA UROLOGY GROUP PA
2626 N WEBB RD
WICHITA, KS 672268110
3166366100
Source: CMS National Downloadable File, September 2026.