Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2006
NPI: 1386949261
Practice Locations (1)
NORTH ATLANTA PROFESSIONAL SERVICES LLC
1200 NORTHSIDE FORSYTH DR
CUMMING, GA 300417659
7708443200
Source: CMS National Downloadable File, September 2026.