Medical school: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated: 2006
NPI: 1013402213
Practice Locations (3)
PO BOX, SUITE 11167
FORT WAYNE, IN 46856
446 MORGAN ST
CINCINNATI, OH 452062348
230 LUDLOW ST
HAMILTON, OH 450112903
Source: CMS National Downloadable File, September 2026.