Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 2015
NPI: 1255718490
Practice Locations (2)
211 FRIDAY CTR DR, SUITE 2057
CHAPEL HILL, NC 27517
PO BOX, SUITE 271647
SALT LAKE CITY, UT 84127
Source: CMS National Downloadable File, September 2026.