Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1984
NPI: 1730173840
Practice Locations (3)
5770 KARL RD
Columbus, OH 432293604
5770 KARL RD
COLUMBUS, OH 432293604
6148479933
5770 KARL RD
COLUMBUS, OH 432293658
Source: CMS National Downloadable File, September 2026.