Medical school: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated: 1986
NPI: 1659345890
Practice Locations (2)
3104 BLACKISTON BLVD
NEW ALBANY, IN 471509579
5023719703
220 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 402023826
5023719703
Source: CMS National Downloadable File, September 2026.