Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2015
NPI: 1871949867
Practice Locations (2)
11623 FOX CHASE CT
ELLICOTT CITY, MD 210426281
3601 EISENHOWER AVE, SUITE 220
ALEXANDRIA, VA 223046457
Source: CMS National Downloadable File, September 2026.