Medical school: UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduated: 1990
Also: UROLOGY
NPI: 1003880527
Practice Locations (1)
PARKVIEW HEALTH SYSTEM INC
11141 PARKVIEW PLAZA DR, SUITE 200
FORT WAYNE, IN 468451714
2604256030
Source: CMS National Downloadable File, September 2026.