Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1983
NPI: 1235146465
Practice Locations (2)
5969 E BROAD ST, SUITE 404
COLUMBUS, OH 432131545
6148631133
477 COOPER RD, SUITE 440
Westerville, OH 430818055
Source: CMS National Downloadable File, September 2026.