Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2020
Also: HOSPITALIST
NPI: 1205226560
Practice Locations (1)
GOOD SAMARITAN REGIONAL HEALTH CENTER
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 628642402
5572031601
Source: CMS National Downloadable File, September 2026.