Medical school: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated: 1995
NPI: 1891854923
Practice Locations (2)
217 E CHESTNUT ST, UNIT A
MOUNT VERNON, OH 430503466
7403924999
217 E CHESTNUT ST A
MOUNT VERNON, OH 430503466
Source: CMS National Downloadable File, September 2026.