Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2016
NPI: 1245880319
Practice Locations (2)
4593 39TH ST
SAN DIEGO, CA 921164634
5 HIGH RIDGE PARK, FL 2
STAMFORD, CT 069051326
Source: CMS National Downloadable File, September 2026.