Medical school: OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2003
NPI: 1780622563
Practice Locations (2)
LICKING MEMORIAL PROFESSIONAL CORPORATION
1320 W MAIN ST
NEWARK, OH 430551822
2205644000
ROUND TABLE PHYSICIANS GROUP PLLC
8910 HWY 6 S
HOUSTON, TX 770836339
8326993777
Source: CMS National Downloadable File, September 2026.