Medical school: LAKE ERIE COL OF OSTEOPATHIC MEDICINE, BRADENTON
Graduated: 2020
NPI: 1093342883
Practice Locations (3)
6330 NIKKI LN
Tampa, FL 336251643
1400 S GERNATOWN RD
Germantown, TN 38138
1400 S GERMANTOWN RD
GERMANTOWN, TN 381382205
Source: CMS National Downloadable File, September 2026.