Medical school: UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated: 1994
NPI: 1487630802
Practice Locations (1)
LUTHERAN MEDICAL GROUP LLC
7900 W JEFFERSON BLVD, SUITE 304
FORT WAYNE, IN 468044128
2604583600
Source: CMS National Downloadable File, September 2026.