Medical school: OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2020
NPI: 1336769397
Practice Locations (1)
LICKING MEMORIAL PROFESSIONAL CORPORATION
1320 W MAIN ST, LICKING MEMORIAL PATHOLOGY
NEWARK, OH 430551822
2205644266
Source: CMS National Downloadable File, September 2026.