Medical school: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated: 1978
NPI: 1053409151
Practice Locations (2)
9686 CINCINNATI COLUMBUS RD
CINCINNATI, OH 452411071
9686 CINCINNATI COLUMBUS RD
CINCINNATI, OH 45841
5137772888
Source: CMS National Downloadable File, September 2026.