Medical school: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1994
Also: CRITICAL CARE (INTENSIVISTS)
NPI: 1043262769
Practice Locations (1)
PARKVIEW HEALTH SYSTEM INC
11104 PARKVIEW PLAZA DR, 410 PPG PULMONARY AND CRITICAL CARE
FORT WAYNE, IN 468451730
2602667856
Source: CMS National Downloadable File, September 2026.