Medical school: TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Graduated: 1993
NPI: 1396746236
Practice Locations (1)
COLUMBUS RADIOLOGY CORP
111 S GRANT AVE, OHIOHEALTH GRANT MEDICAL CENTER
COLUMBUS, OH 432154701
6142287231
Source: CMS National Downloadable File, September 2026.