Medical school: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated: 1986
NPI: 1083647903
Practice Locations (2)
29001 CEDAR RD, SUITE 302
Lyndhurst, OH 441244041
29001 CEDAR RD, SUITE 302
LYNDHURST, OH 441244041
4404425085
Source: CMS National Downloadable File, September 2026.