Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2020
NPI: 1104445022
Practice Locations (2)
101 E OLNEY AVE, SUITE 400
PHILADELPHIA, PA 191202470
1101 MARKET ST
PHILADELPHIA, PA 191072955
Source: CMS National Downloadable File, September 2026.