Medical school: TOURO UN COL OF OSTEOPATHIC MEDICINE, NEW YORK
Graduated: 2020
NPI: 1831711712
Practice Locations (2)
12301 WILSHIRE BLVD, 512 SUITE 512
Los Angeles, CA 900251053
12301 WILSHIRE BLVD, SUITE 512
LOS ANGELES, CA 900251053
Source: CMS National Downloadable File, September 2026.