Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 2020
NPI: 1265069470
Practice Locations (2)
5555 GLENRIDGE CONNECTOR, SUITE 700
ATLANTA, GA 303421681
265 SUNRISE HWY, SUITE 20
ROCKVILLE CENTRE, NY 11570
Source: CMS National Downloadable File, September 2026.