Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2021
NPI: 1942886478
Practice Locations (2)
NORTHSIDE HOSPITAL - MANAGED CARE DEPT
ATLANTA, GA 303421606
6201 GREENLEIGH AVE
MIDDLE RIVER, MD 212202004
Source: CMS National Downloadable File, September 2026.