Medical school: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2023
NPI: 1528751393
Practice Locations (3)
1500 LOCUST ST, APT 3420
PHILADELPHIA, PA 191024302
3500 N BROAD ST, RM 1A
PHILADELPHIA, PA 191404106
3509 N BROAD ST
PHILADELPHIA, PA 191404105
Source: CMS National Downloadable File, September 2026.