Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2020
NPI: 1780211268
Practice Locations (2)
115 WALLER AVE, SUITE 209
Lexington, KY 405031035
115 WALLER AVE, SUITE 209
LEXINGTON, KY 405031035
Source: CMS National Downloadable File, September 2026.