Medical school: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated: 2020
NPI: 1629722046
Practice Locations (2)
282 W 113TH ST APT, 4B
New York, NY 100263328
282 W 113TH ST, APT 4B
NEW YORK, NY 100263328
Source: CMS National Downloadable File, September 2026.