Medical school: INDIANA MEDICAL COLLEGE, SCHOOL OF MEDICINE OF PURDUE UNIVERSITY
Graduated: 1992
NPI: 1659315331
Practice Locations (1)
COMMUNITY HEALTH NETWORK INC
2040 N SHADELAND AVE, SUITE 250
INDIANAPOLIS, IN 462191712
3173555009
Source: CMS National Downloadable File, September 2026.