Medical school: TOURO UN COL OF OSTEOPATHIC MEDICINE, NEW YORK
Graduated: 2021
NPI: 1851978134
Practice Locations (1)
LSU HEALTH SCIENCES CENTER SHREVEPORT FACULTY GROUP PRACTICE
1541 KINGS HWY
SHREVEPORT, LA 711034228
3186755000
Source: CMS National Downloadable File, September 2026.