Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 2021
NPI: 1952982142
Practice Locations (3)
1750 N BAYSHORE DR, APT 5305
MIAMI, FL 331323221
200 CORPORATE BLVD
LAFAYETTE, LA 705083844
4535 DRESSIER RD NW
CANTON, OH 447182545
Source: CMS National Downloadable File, September 2026.