Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1986
NPI: 1073592606
Practice Locations (1)
ORTHOPAEDIC CLINIC OF DAYTONA BEACH PA
1865 LPGA BLVD
DAYTONA BEACH, FL 321177108
3862554596
Source: CMS National Downloadable File, September 2026.