Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 2021
NPI: 1639759400
Practice Locations (4)
1047 18TH ST, APT C
SANTA MONICA, CA 904034420
7901 BROADWAY, SUITE 19
Elmhurst, NY 113731329
1 GUSTAVE L LEVY PL
NEW YORK, NY 100296574
150 E 42ND ST
NEW YORK, NY 100175612
Source: CMS National Downloadable File, September 2026.