Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 2021
NPI: 1558942342
Practice Locations (2)
45 -315 LILIPUNA RD, APT A301
KANEOHE, HI 967443059
1400 SW 5TH AVE, FL 5
PORTLAND, OR 972015509
Source: CMS National Downloadable File, September 2026.