Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 2021
NPI: 1588241996
Practice Locations (2)
FILE NUMBER, SUITE 54701
Los Angeles, CA 900740001
FILE NUMBER, SUITE 54701
LOS ANGELES, CA 900740001
Source: CMS National Downloadable File, September 2026.