Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1983
NPI: 1174569362
Practice Locations (1)
TRI STATE UROLOGIC SERVICES PSC INC
3301 MERCY HEALTH BLVD, SUITE 525
CINCINNATI, OH 452111118
5138417700
Source: CMS National Downloadable File, September 2026.