Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2011
NPI: 1982990065
Practice Locations (1)
FLORIDA HOSPITAL PHYSICIAN GROUP INC
3000 MEDICAL PARK DR, SUITE 500
TAMPA, FL 336136600
8136157007
Source: CMS National Downloadable File, September 2026.