Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1975
NPI: 1144208380
Practice Locations (1)
TRIAD HEALTH SERVICES LLC
918 TRAILWOOD DR, SUITE 1
YOUNGSTOWN, OH 445125037
3307267598
Source: CMS National Downloadable File, September 2026.