Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2010
NPI: 1487965026
Practice Locations (2)
NOVANT HEALTH MEDICAL GROUP, LLC
1010 BETHESDA CT
WINSTON SALEM, NC 271033019
3362776000
GREAT PLAINS TRIBAL CHAIRMEN'S HEALTH BOARD
3200 CANYON LAKE DR
RAPID CITY, SD 577028114
60535525002356
Source: CMS National Downloadable File, September 2026.