Graduated: 2001
NPI: 1306009451
Practice Locations (2)
ST ELIZABETH MEDICAL CENTER, INC
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 410173403
8593012237
UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY LLC
3188 BELLEVUE AVE
CINCINNATI, OH 452192369
5135841000
Source: CMS National Downloadable File, September 2026.