Medical school: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated: 1998
NPI: 1578637963
Practice Locations (2)
1930 CROWN PARK CT, SUITE 120
COLUMBUS, OH 432352402
6144573212
9759 FAIRWAY DR
POWELL, OH 430656947
6147923668
Source: CMS National Downloadable File, September 2026.