Medical school: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2021
NPI: 1205413895
Practice Locations (3)
5767 W CENTURY BLVD, SUITE 400
Los Angeles, CA 900455631
5767 W CENTURY BLVD, SUITE 400
LOS ANGELES, CA 900455631
9207 HAAS AVE
LOS ANGELES, CA 900473752
Source: CMS National Downloadable File, September 2026.