Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 2022
NPI: 1023759628
Practice Locations (2)
261 S 10TH ST, APT 3
PHILADELPHIA, PA 191076778
840 WALNUT ST, SUITE 1230
PHILADELPHIA, PA 191075180
Source: CMS National Downloadable File, September 2026.