Medical school: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2026
NPI: 1679406904
Practice Locations (2)
8100 ASHTON AVE, SUITE 200
Manassas, VA 201095688
8100 ASHTON AVE, SUITE 200
MANASSAS, VA 201095622
Source: CMS National Downloadable File, September 2026.