Medical school: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated: 1985
NPI: 1225021025
Practice Locations (2)
213 PERKINSWOOD BLVD NE
WARREN, OH 444834477
213 PERKINSWOOD NE
WARREN, OH 444834477
3303992701
Source: CMS National Downloadable File, September 2026.