Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2007
NPI: 1124225578
Practice Locations (1)
BEACON MEDICAL GROUP INC
1815 E IRELAND RD, BEACON MEDICAL GROUP IRELAND ROAD
SOUTH BEND, IN 466142845
5746471700
Source: CMS National Downloadable File, September 2026.