Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2023
NPI: 1255078259
Practice Locations (2)
4535 DRESSIER RD NW
CANTON, OH 447182545
1108 7TH AVE, APT 317
FORT WORTH, TX 761044201
Source: CMS National Downloadable File, September 2026.