Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 2019
NPI: 1053870105
Practice Locations (3)
1015 WALNUT ST
PHILADELPHIA, PA 191075005
21502 MERCHANTS WAY, SUITE A
KATY, TX 774492515
22741 PROFESSIONAL DR
KINGWOOD, TX 773396005
Source: CMS National Downloadable File, September 2026.