Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 2021
NPI: 1225617988
Practice Locations (2)
338 S 6TH ST, APT A
PHILADELPHIA, PA 191064140
3500 N BROAD ST, RM 1A
PHILADELPHIA, PA 191404106
Source: CMS National Downloadable File, September 2026.