Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1995
NPI: 1457376485
Practice Locations (1)
SONDERMIND PROVIDER NETWORK LLC
20 S 3RD ST, SUITE 210
COLUMBUS, OH 432154206
8666300966
Source: CMS National Downloadable File, September 2026.