Medical school: EDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduated: 2023
NPI: 1760177802
Practice Locations (2)
2450 RYE ST, APT 508
BALTIMORE, MD 212305097
PO BOX, SUITE 62063
BALTIMORE, MD 21264
Source: CMS National Downloadable File, September 2026.