Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2020
NPI: 1639798341
Practice Locations (1)
VANDERBILT INTEGRATED PROVIDERS LLC
2835 HWY 231 N
SHELBYVILLE, TN 371607327
9316855433
Source: CMS National Downloadable File, September 2026.