Medical school: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated: 2014
NPI: 1528472982
Practice Locations (2)
10451 NW 117TH AVE, SUITE 200
MEDLEY, FL 331781138
PO BOX
ATLANTA, GA 30384
Source: CMS National Downloadable File, September 2026.