Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2025
NPI: 1669348876
Practice Locations (3)
1410 ARLINGTON AVE
Columbus, OH 432123201
1410 ARLINGTON AVE
COLUMBUS, OH 432123201
620 BEAR RUN LN
LEWIS CENTER, OH 430358299
Source: CMS National Downloadable File, September 2026.