Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 2012
NPI: 1942575147
Practice Locations (2)
PO BOX 8500 LOCKBOX, SUITE 7642
PHILADELPHIA, PA 19178
PO BOX 8500 LOCKBOX, SUITE 7642
PHILADELPHIA, PA 191787642
Source: CMS National Downloadable File, September 2026.