Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 2021
NPI: 1356928717
Practice Locations (2)
3015 N ROCKY POINT DR E, UNIT 812
TAMPA, FL 336076094
5901 E FOWLER AVE, SUITE 100
TEMPLE TERRACE, FL 336172305
Source: CMS National Downloadable File, September 2026.