Medical school: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated: 2018
NPI: 1053801019
Practice Locations (2)
9400 S CICERO AVE, SUITE 100
OAK LAWN, IL 604532536
3901 DUTCHMANS LN, SUITE 104
LOUISVILLE, KY 402074726
5024964914
Source: CMS National Downloadable File, September 2026.