Medical school: UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduated: 2005
Also: INTERNAL MEDICINE
Offers telehealth
NPI: 1104951235
Practice Locations (1)
PROVIDENCE MEDICAL INSTITUTE
520 N PROSPECT AVE, SUITE 102
REDONDO BEACH, CA 902773033
3103189992
Source: CMS National Downloadable File, September 2026.