Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2022
NPI: 1730821679
Practice Locations (2)
PO BOX
DALLAS, TX 75265
PO BOX, 650859 DEPT. 710
DALLAS, TX 752650859
Source: CMS National Downloadable File, September 2026.