Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 2007
NPI: 1285896282
Practice Locations (1)
STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING
2200 W BROAD ST
COLUMBUS, OH 432231297
6147520333
Source: CMS National Downloadable File, September 2026.