Medical school: NEW YORK UNIVERSITY MEDICAL COLLEGE - NLG
Graduated: 2014
NPI: 1336849058
Practice Locations (2)
3355 SAINT JOHNS LN, SUITE F
ELLICOTT CITY, MD 210422600
PO BOX, SUITE 194
PERKINSTON, MS 39573
Source: CMS National Downloadable File, September 2026.