Medical school: EDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduated: 2018
NPI: 1770070963
Practice Locations (1)
UNIVERSITY OF LOUISVILLE PHYSICIANS INC
1900 BLUEGRASS AVE, SUITE 103
LOUISVILLE, KY 402151144
5023674500
Source: CMS National Downloadable File, September 2026.