Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1991
NPI: 1649260522
Practice Locations (1)
LIFESPRING, INC
460 SPRING ST
JEFFERSONVILLE, IN 471303452
8122802080
Source: CMS National Downloadable File, September 2026.