Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2009
NPI: 1457619371
Practice Locations (1)
BANNER PRIMARY CARE PHYSICIANS ARIZONA LLC
1917 S CRISMON RD
MESA, AZ 852096216
4806107100
Source: CMS National Downloadable File, September 2026.