Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1995
NPI: 1871664714
Practice Locations (2)
6001 E BROAD ST
COLUMBUS, OH 432131502
6142346000
1085 E JOHNSTOWN RD
GAHANNA, OH 432306849
6146825095
Source: CMS National Downloadable File, September 2026.