Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2011
NPI: 1174811905
Practice Locations (1)
GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES, INC
520 S 7TH ST
VINCENNES, IN 475911038
8128853280
Source: CMS National Downloadable File, September 2026.