Graduated: 2017
NPI: 1174100309
Practice Locations (2)
UNIVERSITY OF CONNECTICUT HEALTH CENTER
1115 W ST
SOUTHINGTON, CT 064896025
8602766043
ORLANDO HEALTH MEDICAL GROUP INC
52 W UNDERWOOD ST
ORLANDO, FL 328061110
4078415111
Source: CMS National Downloadable File, September 2026.