Medical school: PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduated: 2005
NPI: 1962640250
Practice Locations (2)
DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY
HIGHWAY 191 AND HOSPITAL RD
CHINLE, AZ 865038000
92867470307030
LOYOLA UNIVERSITY MEDICAL CENTER
2160 S 1ST AVE
MAYWOOD, IL 601533328
7082169000
Source: CMS National Downloadable File, September 2026.