Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 2019
NPI: 1477013480
Practice Locations (2)
DHEW IND HLTH SV HLTH SVS AND MNTL HLTH ADM
4212 N 16TH ST
PHOENIX, AZ 850165319
6022631200
HENNEPIN HEALTHCARE SYSTEM INC
701 PARK AVE
MINNEAPOLIS, MN 554151623
6128736963
Source: CMS National Downloadable File, September 2026.