Medical school: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2022
NPI: 1902548654
Practice Locations (3)
568 BROADWAY, RM 304
NEW YORK, NY 100123264
5801 POSTAL RD
CLEVELAND, OH 441812184
5801 POSTAL RD
CLEVELAND, OH 441819600
Source: CMS National Downloadable File, September 2026.