Medical school: FLORIDA ATLANTIC UNIVERSITY, COLLEGE OF MEDICINE
Graduated: 2020
NPI: 1538750104
Practice Locations (1)
FLORIDA DEPARTMENT OF HEALTH
1105 E KENNEDY BLVD, HILLSBOROUGH COUNTY HEALTH DEP.
TAMPA, FL 336023511
81330780156401
Source: CMS National Downloadable File, September 2026.