Medical school: ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated: 2021
NPI: 1629746052
Practice Locations (2)
AEG MARYLAND PROFESSIONAL LLC
1029 LIGHT ST
BALTIMORE, MD 212304017
4107528208
FEDERAL HILL PRACTICE LLC
1029 LIGHT ST
BALTIMORE, MD 212304017
4107528208
Source: CMS National Downloadable File, September 2026.