Medical school: VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated: 2019
NPI: 1619437746
Practice Locations (2)
NORTH SHORE-LIJ MEDICAL PC
10411 CALLE INDEPENDENCIA
FOUNTAIN VALLEY, CA 927083709
5164057080
NORTH SHORE-LIJ MEDICAL PC
1 HEROES WAY
RIVERHEAD, NY 119012054
6315486000
Source: CMS National Downloadable File, September 2026.