Medical school: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated: 2002
NPI: 1861462012
Practice Locations (1)
INDIANA SPORTS AND MEDICAL SCIENCE INSTITUTE, PC
11275 DELAWARE PKWY, SUITE A
CROWN POINT, IN 463077812
2197798735
Source: CMS National Downloadable File, September 2026.