Graduated: 2000
NPI: 1356524623
Practice Locations (2)
UNIVERSITY HOSPITALS MEDICAL GROUP INC
11100 EUCLID AVE
CLEVELAND, OH 441061716
2168441000
PRISMA HEALTH MEDICAL GROUP-MIDLANDS
2 MEDICAL PARK RD, SUITE 107
COLUMBIA, SC 292036839
8035455700
Source: CMS National Downloadable File, September 2026.