Medical school: MEDICAL COLLEGE OF OHIO
Graduated: 1996
NPI: 1710973508
Practice Locations (2)
OBHG OHIO CORP
1320 MERCY DR NW
CANTON, OH 447082614
8649083639
LICKING MEMORIAL PROFESSIONAL CORPORATION
15 MESSIMER DR
NEWARK, OH 430551841
2205647970
Source: CMS National Downloadable File, September 2026.