Medical school: TOURO UN COL OF OSTEOPATHIC MEDICINE, NEW YORK
Graduated: 2018
NPI: 1558850065
Practice Locations (1)
NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC
1080 SANDERS RD, SUITE 100
CUMMING, GA 300418057
7708872323
Source: CMS National Downloadable File, September 2026.