Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2007
Also: MICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
NPI: 1174789507
Practice Locations (1)
LIVE OAK DERMATOLOGY PC
7176 W RIDGE RD
FAIRVIEW, PA 164152027
8144137997
Source: CMS National Downloadable File, September 2026.