Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1997
NPI: 1194085811
Practice Locations (1)
TRIAD HEALTH SERVICES LLC
4135 BOARDMAN CANFIELD RD, SUITE 202
CANFIELD, OH 444069803
3309674660
Source: CMS National Downloadable File, September 2026.