Medical school: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated: 2004
Offers telehealth
NPI: 1992760045
Practice Locations (1)
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
1500 S MAIN ST OPC 2ND FLOOR, UROLOGY
FORT WORTH, TX 761044917
8177023000
Source: CMS National Downloadable File, September 2026.