Medical school: AT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated: 2025
NPI: 1508607615
Practice Locations (2)
150 E 42ND ST
NEW YORK, NY 100175699
1563 TRAYWICK AVE
Johns Island, SC 294558433
Source: CMS National Downloadable File, September 2026.