Medical school: EDWARD VIA COL OF OSTEO MEDICINE-CAROLINAS CAMPUS
Graduated: 2021
NPI: 1578149738
Practice Locations (2)
237 S CLEMENTINE ST
OCEANSIDE, CA 920543121
450 MAMARONECK AVE, SUITE 201
HARRISON, NY 105282400
Source: CMS National Downloadable File, September 2026.