Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2002
NPI: 1578536181
Practice Locations (2)
KNOX COMMUNITY HOSPITAL
1330 COSHOCTON AVE
MOUNT VERNON, OH 430501440
PREMIER UROLOGY CORP
430 ALTAIR PKWY, SUITE 200
WESTERVILLE, OH 430827647
6148180215
Source: CMS National Downloadable File, September 2026.