Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 2002
NPI: 1659356723
Practice Locations (1)
HEALTHSOURCE OF OHIO INC
8000 5 MILE RD, SUITE 207
CINCINNATI, OH 452302187
5134742870
Source: CMS National Downloadable File, September 2026.