Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2002
NPI: 1124056163
Practice Locations (2)
UNIVERSITY PRIMARY CARE PRACTICES INC
5901 E ROYALTON RD
BROADVIEW HEIGHTS, OH 441473532
UNIVERSITY PRIMARY CARE PRACTICES INC
158 W MAIN RD
CONNEAUT, OH 440302039
Source: CMS National Downloadable File, September 2026.