Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, BRADENTON
Graduated: 2019
Offers telehealth
NPI: 1619430840
Practice Locations (1)
MAIN LINE HEALTHCARE
1088 W BALTIMORE PIKE, 2104 MLHC NEUROLOGY
MEDIA, PA 190635136
4845726300
Source: CMS National Downloadable File, September 2026.