Medical school: FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2023
NPI: 1679277917
Practice Locations (2)
PO BOX, SUITE 741515
LOS ANGELES, CA 90074
1100 9TH AVE
SEATTLE, WA 981012799
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Medical school: FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2023
NPI: 1679277917
PO BOX, SUITE 741515
LOS ANGELES, CA 90074
1100 9TH AVE
SEATTLE, WA 981012799
Source: CMS National Downloadable File, September 2026.