Medical school: PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduated: 1977
NPI: 1174557615
Practice Locations (1)
ID CONSULTANTS OF NORTHEAST OHIO INC
2475 E 22ND ST, SUITE 110
CLEVELAND, OH 441153221
2163632556
Source: CMS National Downloadable File, September 2026.