Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 2021
NPI: 1891361416
Practice Locations (2)
222 W HOSPITALITY LN, FL 4
SAN BERNARDINO, CA 924150013
500 W JEFFERSON ST, SUITE 2310
Louisville, KY 402022881
Source: CMS National Downloadable File, September 2026.