Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2014
NPI: 1861805848
Practice Locations (1)
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
2020 SANTA MONICA BLVD, SUITE 210
SANTA MONICA, CA 904042139
3104582381
Source: CMS National Downloadable File, September 2026.