Medical school: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2014
NPI: 1366862906
Practice Locations (2)
LICKING MEMORIAL PROFESSIONAL CORPORATION
1320 W MAIN ST, LICKING MEMORIAL ANESTHESIOLOGY
NEWARK, OH 430551822
2205644226
SOMC MEDICAL CARE FOUNDATION, INC.
1805 27TH ST
PORTSMOUTH, OH 456622640
7403568681
Source: CMS National Downloadable File, September 2026.