Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1989
NPI: 1164538955
Practice Locations (2)
615 PORTAGE TRAIL
CUYAHOGA FALLS, OH 44221
3309230506
615 PORTAGE TRL
CUYAHOGA FALLS, OH 442213001
Source: CMS National Downloadable File, September 2026.