Medical school: INDIANA MEDICAL COLLEGE, SCHOOL OF MEDICINE OF PURDUE UNIVERSITY
Graduated: 1994
NPI: 1457635997
Practice Locations (2)
4130 DUTCHMANS LN, SUITE 101
LOUISVILLE, KY 402074708
121 S HIGHLAND ST
WINCHESTER, KY 403912003
Source: CMS National Downloadable File, September 2026.