Medical school: AT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated: 2021
NPI: 1952948663
Practice Locations (3)
6202 GIST AVE
BALTIMORE, MD 212153608
9021 BALIN CT
PIKESVILLE, MD 212082151
10 BRANDYWINE DR
MASTIC, NY 119501404
Source: CMS National Downloadable File, September 2026.