Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2005
NPI: 1891011359
Practice Locations (1)
INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC
5320 S RAINBOW BLVD, SUITE 150
LAS VEGAS, NV 891181807
7029447105
Source: CMS National Downloadable File, September 2026.