Medical school: TOURO UN COLLEGE OF OSTEOPATHIC MEDICINE, VALLEJO
Graduated: 2019
NPI: 1205399607
Practice Locations (2)
8060 SW PFAFFLE ST, SUITE 106
TIGARD, OR 972238489
PO BOX, SUITE 5943
VIRGINIA BEACH, VA 23471
Source: CMS National Downloadable File, September 2026.