Medical school: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated: 2017
NPI: 1215451901
Practice Locations (1)
TIDALHEALTH SPECIALTY CARE LLC
100 E CARROLL ST, TIDALHEALTH PULMONARY
SALISBURY, MD 218015422
4105437722
Source: CMS National Downloadable File, September 2026.