Medical school: UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduated: 2023
NPI: 1336844208
Practice Locations (3)
FILE NUMBER, SUITE 54701
Los Angeles, CA 900740001
FILE NUMBER, SUITE 54701
LOS ANGELES, CA 900740001
393 E WALNUT ST 3RD FL
PASADENA, CA 911880001
Source: CMS National Downloadable File, September 2026.