Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2019
NPI: 1811459043
Practice Locations (2)
PO BOX, SUITE 60901
TRUCKEE, CA 96160
880 ALDER AVE
INCLINE VILLAGE, NV 894518335
Source: CMS National Downloadable File, September 2026.