Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1988
NPI: 1093710162
Practice Locations (1)
PROMEDICA GENITO-URINARY SURGEONS LLC
5757 MONCLOVA RD, SUITE 6
MAUMEE, OH 435371863
4198977751
Source: CMS National Downloadable File, September 2026.