Medical school: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2019
Offers telehealth
NPI: 1689137556
Practice Locations (1)
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
622 W 168TH ST
NEW YORK, NY 100323720
2123059876
Source: CMS National Downloadable File, September 2026.