Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1981
Also: ORAL SURGERY
NPI: 1174695209
Practice Locations (1)
27500 DETROIT RD, SUITE 104
WESTLAKE, OH 441455913
4408928655
Source: CMS National Downloadable File, September 2026.