Medical school: CASE WESTERN UNIVERSITY SCHOOL OF DENTAL MEDICINE
Graduated: 1984
NPI: 1184723538
Practice Locations (2)
6150 PARKLAND BLVD, SUITE 225
MAYFIELD HTS, OH 441246147
13640 BRIARWICK DR, SUITE 110
AUSTIN, TX 787291706
Source: CMS National Downloadable File, September 2026.