Medical school: OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1987
NPI: 1043279474
Practice Locations (1)
SOUTHWEST GENERAL MEDICAL GROUP INC
15299 BAGLEY RD, SUITE 100
MIDDLEBURG HEIGHTS, OH 441304809
4408852100
Source: CMS National Downloadable File, September 2026.