Medical school: UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated: 2023
NPI: 1740975150
Practice Locations (3)
FILE, SUITE 57326
LOS ANGELES, CA 90074
440 STEVENS AVE, SUITE 370
Solana Beach, CA 920752057
PO BOX, SUITE 1980
NORFOLK, VA 235011980
Source: CMS National Downloadable File, September 2026.