Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1987
NPI: 1902881436
Practice Locations (2)
342 W 7TH ST
JASPER, IN 475462724
500 W JEFFERSON ST
LOUISVILLE, KY 402022823
Source: CMS National Downloadable File, September 2026.