Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2014
NPI: 1609278969
Practice Locations (1)
PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA
9333 SW 152ND ST
PALMETTO BAY, FL 331571778
3052512500
Source: CMS National Downloadable File, September 2026.