Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2024
NPI: 1609766120
Practice Locations (3)
183 E DUNCAN ST
Columbus, OH 432022675
357 W 6TH AVE
COLUMBUS, OH 432013134
510 E N BROADWAY ST
COLUMBUS, OH 432144114
Source: CMS National Downloadable File, September 2026.