Medical school: CITY UNIVERSITY OF NEW YORK SCHOOL OF MEDICINE
Graduated: 2020
NPI: 1720601867
Practice Locations (2)
PO BOX, SUITE 2601
FORT WAYNE, IN 46801
8200 E 34TH CIR N, SUITE 1805
Wichita, KS 672261362
Source: CMS National Downloadable File, September 2026.