Medical school: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2025
NPI: 1962387720
Practice Locations (2)
3180 MAIN ST, SUITE 202204
BRIDGEPORT, CT 066064264
1340 WASHINGTON BLVD, UNIT 504
STAMFORD, CT 069028818
Source: CMS National Downloadable File, September 2026.