Medical school: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1861456568
Practice Locations (1)
UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY LLC
9313 S MASON MONTGOMERY RD, SUITE 200
MASON, OH 450408046
5135846999
Source: CMS National Downloadable File, September 2026.