Medical school: LAKE ERIE COL OF OSTEOPATHIC MEDICINE, BRADENTON
Graduated: 2020
Offers telehealth
NPI: 1710629605
Practice Locations (1)
FAIRFAX FAMILY PRACTICE CENTERS PC
115 PARK ST SE, SUITE 300
VIENNA, VA 221804653
7032559100
Source: CMS National Downloadable File, September 2026.