Medical school: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2022
NPI: 1821679481
Practice Locations (3)
15933 CLAYTON RD, SUITE 210
BALLWIN, MO 630112154
173 E 90TH ST, APT 2B
NEW YORK, NY 101282373
173 E 90TH ST APT, 2B
NEW YORK, NY 101282373
Source: CMS National Downloadable File, September 2026.