Medical school: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2020
NPI: 1740816743
Practice Locations (2)
5767 W CENTURY BLVD, SUITE 400
Los Angeles, CA 900455631
5767 W CENTURY BLVD, SUITE 400
LOS ANGELES, CA 900455631
Source: CMS National Downloadable File, September 2026.