Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 2022
NPI: 1891435541
Practice Locations (2)
PO BOX, SUITE 50938
LOS ANGELES, CA 90074
215 N MARENGO AVE, SUITE 201
PASADENA, CA 911011532
Source: CMS National Downloadable File, September 2026.