Medical school: UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduated: 2023
NPI: 1851087464
Practice Locations (2)
PO, 1518 ATTN GOVERNMENT PAYER ENROLLMENT
Pasadena, CA 911101518
PO
PASADENA, CA 91110
Source: CMS National Downloadable File, September 2026.