Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 2012
NPI: 1649537424
Practice Locations (1)
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
5323 HARRY HINES BLVD
DALLAS, TX 753907208
2146452080
Source: CMS National Downloadable File, September 2026.