Medical school: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2020
NPI: 1366079329
Practice Locations (2)
PO BOX, SUITE 50938
LOS ANGELES, CA 90074
215 N MARENGO AVE, SUITE 201
PASADENA, CA 911011532
Source: CMS National Downloadable File, September 2026.