Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 2026
NPI: 1255111043
Practice Locations (2)
17866 GRAY MOSS AVE
BATON ROUGE, LA 708171737
8946 INTERLINE AVE
BATON ROUGE, LA 708091913
Source: CMS National Downloadable File, September 2026.