Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2021
NPI: 1952936163
Practice Locations (2)
720 39TH ST N
BIRMINGHAM, AL 352221112
PO BOX, SUITE 55310
BIRMINGHAM, AL 35255
Source: CMS National Downloadable File, September 2026.