Medical school: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2011
Offers telehealth
NPI: 1922386317
Practice Locations (1)
UNIVERSITY OF PENN-MEDICAL GROUP
3400 CIVIC CTR BLVD, FL 1
PHILADELPHIA, PA 191045161
2156156555
Source: CMS National Downloadable File, September 2026.