Medical school: TOURO UN COL OF OSTEOPATHIC MEDICINE, NEW YORK
Graduated: 2020
NPI: 1629694708
Practice Locations (2)
FPA HOSPITAL BASED
355 BARD AVE
STATEN ISLAND, NY 103101664
7188181015
SOUTHEASTERN EMERGENCY PHYSICIANS LLC
651 DUNLOP LN
CLARKSVILLE, TN 370405015
9315021000
Source: CMS National Downloadable File, September 2026.