Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 2023
NPI: 1992400600
Practice Locations (2)
6626 E 75TH ST, SUITE 500
Indianapolis, IN 462502890
6626 E 75TH ST, SUITE 500
INDIANAPOLIS, IN 462502890
Source: CMS National Downloadable File, September 2026.