Medical school: TOURO UN COL OF OSTEOPATHIC MEDICINE, NEW YORK
Graduated: 2025
NPI: 1720975261
Practice Locations (3)
1 ZOTEC WAY
CARMEL, IN 460320052
P O, SUITE 51028
NEWARK, NJ 07101
PO BOX, SUITE 80252
PHILADELPHIA, PA 19101
Source: CMS National Downloadable File, September 2026.