Medical school: EDWARD VIA COL OF OSTEO MEDICINE-CAROLINAS CAMPUS
Graduated: 2019
NPI: 1538726112
Practice Locations (2)
SUMMIT MEDICAL GROUP INC
85 N GRAND AVE
FORT THOMAS, KY 410751793
8593015901
2300 LITTON LN, SUITE 250
HEBRON, KY 410489132
8599049621
Source: CMS National Downloadable File, September 2026.