Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2002
NPI: 1851388540
Practice Locations (1)
WITHAM MEMORIAL HOSPITAL
2705 N LEBANON ST
LEBANON, IN 460528622
7654858649
Source: CMS National Downloadable File, September 2026.