Medical school: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2000
NPI: 1003890948
Practice Locations (2)
GREAT LAKES PHYSICIAN PRACTICE PC
207 FOOTE AVE
JAMESTOWN, NY 147017077
7169343641
REGIONAL HEALTH SERVICES INC
201 STATE ST
ERIE, PA 165500002
8148776000
Source: CMS National Downloadable File, September 2026.