Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2002
Offers telehealth
NPI: 1891805446
Practice Locations (2)
8390 CHAMPIONS GATE BLVD, SUITE 220
Champions Gate, FL 338968312
1624 S I ST, SUITE 305
TACOMA, WA 984055093
Source: CMS National Downloadable File, September 2026.