Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2009
NPI: 1831416270
Practice Locations (1)
GWINNETT HOSPITAL SYSTEM GME, LLC
1000 MEDICAL CTR BLVD
LAWRENCEVILLE, GA 300467694
6783125527
Source: CMS National Downloadable File, September 2026.