Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2012
NPI: 1831455427
Practice Locations (2)
POCATELLO HEALTH SERVICES LLC
777 HOSPITAL WAY
POCATELLO, ID 832015175
2082342001
AURORA MEDICAL GROUP, INC.
W3985 COUNTY RD NN
ELKHORN, WI 531214337
2627412000
Source: CMS National Downloadable File, September 2026.