Medical school: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated: 2019
NPI: 1952794513
Practice Locations (2)
SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
1421 3RD AVE
NEW YORK, NY 100281899
2127445538
NORTH SHORE-LIJ MEDICAL PC
1 HEROES WAY
RIVERHEAD, NY 119012054
6315486000
Source: CMS National Downloadable File, September 2026.