Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2018
NPI: 1124515036
Practice Locations (3)
29000 CTR RIDGE RD, SUITE 150
WESTLAKE, OH 44145
200 N BRYANT AVE
EDMOND, OK 730346273
PO BOX
GRAPEVINE, TX 76099
Source: CMS National Downloadable File, September 2026.