Medical school: MEDICAL COLLEGE OF OHIO
Graduated: 1993
Also: FAMILY PRACTICE
NPI: 1417956772
Practice Locations (2)
KETTERING INDEPENDENT MEDICAL GROUP INC
4403 FAR HILLS AVE
KETTERING, OH 454292405
9374335309
KETTERING INDEPENDENT MEDICAL GROUP INC
4441 FAR HILLS AVE
KETTERING, OH 454292405
9372987751
Source: CMS National Downloadable File, September 2026.