Medical school: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2012
NPI: 1235497678
Practice Locations (3)
PO BOX, SUITE 11407
BIRMINGHAM, AL 35246
PO BOX, SUITE 9
VALDOSTA, GA 31603
36 LANCASTER ST
LYNBROOK, NY 115631844
Source: CMS National Downloadable File, September 2026.