Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2009
NPI: 1982831871
Practice Locations (2)
FILE, SUITE 57326
Los Angeles, CA 900747326
FILE, SUITE 57326
LOS ANGELES, CA 90074
Source: CMS National Downloadable File, September 2026.