Medical school: HAHNEMANN MEDICAL COLLEGE AND HOSPITAL - KANSAS CITY - NLG
Graduated: 1982
NPI: 1265405237
Practice Locations (1)
COLUMBUS RADIOLOGY CORP
1404 E 2ND ST, MHN DEFIANCE HOSPITAL
DEFIANCE, OH 435122440
4197833239
Source: CMS National Downloadable File, September 2026.