Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 2004
NPI: 1922012582
Practice Locations (3)
SALT LAKE RETINA LLC
2376 N 400, SUITE 101
TOOELE, UT 840743413
8012600034
SALT LAKE RETINA LLC
3855 W 7800, SUITE 100
WEST JORDAN, UT 840885561
8012600034
SALT LAKE RETINA LLC
3855 W 7800 S, SUITE 100
WEST JORDAN, UT 840885561
Source: CMS National Downloadable File, September 2026.