Medical school: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated: 2014
NPI: 1205247079
Practice Locations (1)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
2510 30TH AVE
LONG ISLAND CITY, NY 111022448
7189321000
Source: CMS National Downloadable File, September 2026.