Medical school: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated: 2021
NPI: 1720666951
Practice Locations (1)
CAPITAL CITY MEDICAL GROUP, L.L.C.
3625 HOUMA BLVD
METAIRIE, LA 700064229
5048973305
Source: CMS National Downloadable File, September 2026.