Medical school: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2024
NPI: 1053930859
Practice Locations (5)
1415 ROSS AVE
EL CENTRO, CA 922434306
7604825000
425 W BEECH ST, SUITE 410
SAN DIEGO, CA 921012955
2001 N GRANVILLE AVE
MUNCIE, IN 473032110
PO BOX, SUITE 568
MUNCIE, IN 47308
103 PLEASANT ST APT A
Melrose, MA 021765154
Source: CMS National Downloadable File, September 2026.