Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 2011
Also: UROLOGY
NPI: 1174813638
Practice Locations (1)
LAKE HOSPITAL SYSTEM, INC.
29804 LAKE SHORE BLVD
WILLOWICK, OH 440954611
4408332010
Source: CMS National Downloadable File, September 2026.