Medical school: OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated: 1996
NPI: 1336166818
Practice Locations (1)
AEG FLORIDA PROFESSIONAL PLLC
1100 -4 S PONCE DELEON BLVD
ST. AUGUSTINE, FL 32084
9048240212
Source: CMS National Downloadable File, September 2026.