Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 2021
NPI: 1275117210
Practice Locations (2)
CITY OF PHILADELPHIA
321 W GIRARD AVE, HEALTH CARE CTR 6
PHILADELPHIA, PA 191231531
2156853808
CITY OF PHILADELPHIA
555 S 43 ST
PHILADELPHIA, PA 191044408
2156857522
Source: CMS National Downloadable File, September 2026.