Medical school: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated: 2021
NPI: 1306415781
Practice Locations (3)
21410 N 19TH AVE, SUITE 151
PHOENIX, AZ 850272761
PO BOX
BOSTON, MA 02241
46 SEDGWICK ST, UNIT 3
JAMAICA PLAIN, MA 021303099
Source: CMS National Downloadable File, September 2026.