Medical school: FLORIDA ATLANTIC UNIVERSITY, COLLEGE OF MEDICINE
Graduated: 2021
NPI: 1467992891
Practice Locations (3)
1209 MOUNTAIN RD PL NE
ALBUQUERQUE, NM 87110
1209 MOUNTAIN RD PL NE
ALBUQUERQUE, NM 871107845
42 BROADWAY
NEW YORK, NY 100041659
Source: CMS National Downloadable File, September 2026.