Graduated: 2018
NPI: 1063919686
Practice Locations (2)
UNIVERSITY OF MIAMI
1611 NW 12 AVE
MIAMI, FL 331361005
3052433100
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
30 PROSPECT AVE
HACKENSACK, NJ 076011915
Source: CMS National Downloadable File, September 2026.