Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 2020
NPI: 1962030940
Practice Locations (3)
2020 ZONAL AVE
LOS ANGELES, CA 900899520
280 CHESTNUT ST, FL 2
SPRINGFIELD, MA 011991000
280 CHESTNUT ST, FL 2
SPRINGFIELD, MA 011991001
Source: CMS National Downloadable File, September 2026.