Medical school: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated: 1985
NPI: 1508963059
Practice Locations (2)
2500 CORPORATE EXCHANGE DR, SUITE 100
COLUMBUS, OH 432317601
3029 SCIOTO ESTATES CT
COLUMBUS, OH 432214927
Source: CMS National Downloadable File, September 2026.