Medical school: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2000
NPI: 1255431128
Practice Locations (2)
FREEPORT REGIONAL HEALTH CARE FOUNDATION
1036 W STEPHENSON ST
FREEPORT, IL 610324865
8155996000
UMASS MEMORIAL MEDICAL GROUP INC
55 LAKE AVE N
WORCESTER, MA 016550002
5083341000
Source: CMS National Downloadable File, September 2026.