Medical school: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated: 2024
NPI: 1336714906
Practice Locations (3)
1801 W OLYMPIC BLVD, SUITE 1270
PASADENA, CA 911999119
6040 S FORT APACHE RD, SUITE 100
LAS VEGAS, NV 891485613
1376 YORK AVE APT, 5B
New York, NY 100213427
Source: CMS National Downloadable File, September 2026.