Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1990
Offers telehealth
NPI: 1427162155
Practice Locations (1)
NORTHWESTERN MEDICAL FACULTY FOUNDATION
675 N ST CLAIR, 100 DEPT OF VASC SURGERY
CHICAGO, IL 606115975
3126952714
Source: CMS National Downloadable File, September 2026.