Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 2021
NPI: 1508443318
Practice Locations (1)
NORTH SHORE-LIJ MEDICAL PC
400 E MAIN ST
MOUNT KISCO, NY 105493417
9146661371
Source: CMS National Downloadable File, September 2026.