Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 2020
NPI: 1366078396
Practice Locations (2)
3623 LATROBE DR, SUITE 216
CHARLOTTE, NC 282111172
PO BOX, SUITE 221249
CHARLOTTE, NC 28222
Source: CMS National Downloadable File, September 2026.