Medical school: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated: 2008
NPI: 1699941989
Practice Locations (1)
LIFELINE MEDICAL ASSOCIATES LLC
4745 OGLETOWN STANTON RD, SUITE 106
NEWARK, DE 197132070
3024549800
Source: CMS National Downloadable File, September 2026.