Medical school: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated: 2007
NPI: 1821250895
Practice Locations (1)
LICKING MEMORIAL PROFESSIONAL CORPORATION
1320 W MAIN ST, LICKING MEMORIAL ANESTHESIOLOGY
NEWARK, OH 430551822
2205644226
Source: CMS National Downloadable File, September 2026.