Medical school: LAKE ERIE COL OF OSTEO MED AT SETON HILL UNIV
Graduated: 2019
NPI: 1871052100
Practice Locations (1)
STATE OF OHIO OFFICE OF BUDGET AND MANAGEMENT STATE ACCOUNTING
3000 ERIE ST S
MASSILLON, OH 446467976
3308333135
Source: CMS National Downloadable File, September 2026.