Medical school: UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduated: 2023
NPI: 1003590118
Practice Locations (2)
800 S VICTORIA AVE, L4640
VENTURA, CA 930090002
1885 FM, 2673 UNIT 146
CANYON LAKE, TX 78133
Source: CMS National Downloadable File, September 2026.