Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2024
NPI: 1417753047
Practice Locations (2)
840 S 400, APT 32
ST GEORGE, UT 847705535
133 BREMMER ST
RICHLAND, WA 993528421
Source: CMS National Downloadable File, September 2026.