Medical school: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated: 2001
Also: SPORTS MEDICINE
NPI: 1306058151
Practice Locations (1)
DIGNITY HEALTH MEDICAL FOUNDATION
18460 ROSCOE BLVD, FL 2
NORTHRIDGE, CA 913254107
8188855480
Source: CMS National Downloadable File, September 2026.