Medical school: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2025
NPI: 1629129887
Practice Locations (2)
2225 LEMOINE AVE
FORT LEE, NJ 070246104
3478047532
4232 FRANCIS LEWIS BLVD
BAYSIDE, NY 113612561
3478047532
Source: CMS National Downloadable File, September 2026.