Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2017
NPI: 1467989210
Practice Locations (2)
BALLOUT INTERNATIONAL PLLC
1931 19TH PL
VERO BEACH, FL 329603555
3213879451
DEDICATED OHIO HOLDING LLC
13719 LORAIN AVE
CLEVELAND, OH 441113439
2163073005
Source: CMS National Downloadable File, September 2026.