Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2022
NPI: 1861131179
Practice Locations (1)
VITUITY-WISCONSIN EM SC
9555 76TH ST
PLEASANT PRAIRIE, WI 531581984
2625778000
Source: CMS National Downloadable File, September 2026.