Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2020
NPI: 1013539253
Practice Locations (3)
898 N PACIFIC COAST HWY 600
El Segundo, CA 902452747
898 N PACIFIC COAST HWY, SUITE 600
EL SEGUNDO, CA 902452747
25 HERITAGE DR, APT D
NEW CITY, NY 109565316
Source: CMS National Downloadable File, September 2026.