Medical school: COOPER MEDICAL SCHOOL OF ROWAN UNIVERSITY
Graduated: 2020
NPI: 1639798846
Practice Locations (3)
187 ROUTE 36, SUITE 230
WEST LONG BRANCH, NJ 07764
9825 500
SANDY, UT 84070
PO BOX, SUITE 95590
SOUTH JORDAN, UT 84095
Source: CMS National Downloadable File, September 2026.