Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2016
NPI: 1811287782
Practice Locations (1)
SAN JUAN REGIONAL MEDICAL CENTER, INC.
2700 FARMINGTON AVE BLDG, E1 SJRMC UROLOGY
FARMINGTON, NM 874014550
5056096830
Source: CMS National Downloadable File, September 2026.