Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 2000
NPI: 1770617029
Practice Locations (1)
STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING
930 S DETROIT AVE
TOLEDO, OH 436142701
4193811881
Source: CMS National Downloadable File, September 2026.