Medical school: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated: 2012
NPI: 1396004719
Practice Locations (1)
TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC
1000 ASYLUM AVE, SUITE 4302
HARTFORD, CT 061051704
8607145237
Source: CMS National Downloadable File, September 2026.