Medical school: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1992
NPI: 1619049459
Practice Locations (2)
8100 RAVINES EDGE CT, SUITE 100
COLUMBUS, OH 432355426
121 W WILSON BRIDGE RD, SUITE 310
WORTHINGTON, OH 430852702
6144885090
Source: CMS National Downloadable File, September 2026.