Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, BRADENTON
Graduated: 2020
NPI: 1164059697
Practice Locations (2)
FAIR HILL COMMUNITY PHYSICIANS
133 W HUNTING PARK AVE
PHILADELPHIA, PA 191402717
2153240600
TEMPLE FACULTY PRACTICE PLAN INC
3401 N BROAD ST
PHILADELPHIA, PA 191405103
2157073008
Source: CMS National Downloadable File, September 2026.