Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2022
NPI: 1053051474
Practice Locations (2)
3100 MEADOWBROOK BLVD
CLEVELAND HEIGHTS, OH 441182850
1400 SW 5TH AVE, FL 5
PORTLAND, OR 972015509
Source: CMS National Downloadable File, September 2026.