Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 2018
NPI: 1013404227
Practice Locations (1)
NORTH SHORE-LIJ MEDICAL PC
375 SEGUINE AVE
STATEN ISLAND, NY 103093932
7182266902
Source: CMS National Downloadable File, September 2026.