Medical school: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated: 2019
NPI: 1184287047
Practice Locations (1)
CENTRAL COAST ORTHOPEDIC MEDICAL GROUP
862 MEINECKE AVE, SUITE 100
SAN LUIS OBISPO, CA 934053701
8055414600
Source: CMS National Downloadable File, September 2026.