Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2010
NPI: 1376958561
Practice Locations (1)
HOSPITAL PHYSICIAN SERVICES OF FLORIDA PA
2626 CAPITAL MEDICAL BLVD
TALLAHASSEE, FL 323084402
8503255000
Source: CMS National Downloadable File, September 2026.