Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 2002
NPI: 1780847137
Practice Locations (1)
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
840 S WOOD ST MC, 787 UIC MEDICINE
CHICAGO, IL 606124325
3124138687
Source: CMS National Downloadable File, September 2026.