Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1999
NPI: 1982683488
Practice Locations (2)
18670 GRAPHICS DR, SUITE 200
TINLEY PARK, IL 604774605
455 SAINT MICHAELS DR
SANTA FE, NM 875057663
Source: CMS National Downloadable File, September 2026.