Medical school: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated: 2008
NPI: 1497909741
Practice Locations (1)
KETTERING INDEPENDENT MEDICAL GROUP INC
2141 N FAIRFIELD RD, SUITE B
BEAVERCREEK, OH 454312579
9374580085
Source: CMS National Downloadable File, September 2026.