Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2007
Offers telehealth
NPI: 1972825990
Practice Locations (1)
ATLANTA ID GROUP PC
275 COLLIER RD NW, SUITE 450
ATLANTA, GA 303091748
4043518873
Source: CMS National Downloadable File, September 2026.