Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1987
Also: ALLERGY/IMMUNOLOGY, MAXILLOFACIAL SURGERY, PLASTIC AND RECONSTRUCTIVE SURGERY
NPI: 1669473468
Practice Locations (1)
BAPTIST HEALTH MEDICAL GROUP INC
2411 RING RD, SUITE 105
ELIZABETHTOWN, KY 427015930
2707065265
Source: CMS National Downloadable File, September 2026.