Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2022
NPI: 1972239754
Practice Locations (1)
REGENTS OF THE UNIVERSITY OF MICHIGAN
1500 E MEDICAL CTR DR
ANN ARBOR, MI 481095000
7349364000
Source: CMS National Downloadable File, September 2026.