Medical school: UNIVERSITY OF FLORIDA COLLEGE OF DENTISTRY
Graduated: 2012
Offers telehealth
NPI: 1215203104
Practice Locations (2)
STANFORD HEALTH CARE
300 PASTEUR DR
STANFORD, CA 943052200
6507234000
19 SKYLINE DR
HAWTHORNE, NY 105322134
9145942700
Source: CMS National Downloadable File, September 2026.