Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1994
NPI: 1699751859
Practice Locations (2)
OHIOHEALTH CORPORATION
3705 OLENTANGY RIVER RD
COLUMBUS, OH 432143467
OHIOHEALTH CORPORATION
393 E TOWN ST
COLUMBUS, OH 432154799
Source: CMS National Downloadable File, September 2026.