Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2018
NPI: 1922650787
Practice Locations (2)
12464 BENTON DR UNIT, SUITE 2
Rancho Cucamonga, CA 917398097
12464 BENTON DR, UNIT 2
RANCHO CUCAMONGA, CA 917398097
Source: CMS National Downloadable File, September 2026.