Medical school: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated: 2012
NPI: 1578923181
Practice Locations (2)
DECOACH TEAM LLC
6570 SOSNA DR
Fairfield, OH 450142222
DECOACH TEAM LLC
6570 SOSNA DR
FAIRFIELD, OH 450142222
5139424673
Source: CMS National Downloadable File, September 2026.