Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2018
NPI: 1710484993
Practice Locations (3)
25044 PEACHLAND AVE, SUITE 110
NEWHALL, CA 913212577
1514 GLEN AVE
PASADENA, CA 911032122
1100 SCHAVEY RD
DeWitt, MI 488207739
Source: CMS National Downloadable File, September 2026.