Medical school: YALE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2025
NPI: 1770461451
Practice Locations (3)
400 KELBY ST
FORT LEE, NJ 070242939
400 KELBY ST, FL 9
FORT LEE, NJ 070242939
200 W MARTIN LUTHER KING BLVD, SUITE 1000
Chattanooga, TN 374022560
Source: CMS National Downloadable File, September 2026.