Medical school: WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated: 2019
NPI: 1760942742
Practice Locations (1)
HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC
19 DAVIS AVE, FL 6
NEPTUNE, NJ 077534488
7328973995
Source: CMS National Downloadable File, September 2026.