Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2015
NPI: 1447605985
Practice Locations (1)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
10 UNION SQUARE E, SURGERY DEPT
NEW YORK, NY 100033314
2124202000
Source: CMS National Downloadable File, September 2026.