Medical school: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated: 1983
NPI: 1316912306
Practice Locations (1)
3533 SOUTHERN BLVD, SUITE 3150
KETTERING, OH 454291264
9373958666
Source: CMS National Downloadable File, September 2026.
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Medical school: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated: 1983
NPI: 1316912306
3533 SOUTHERN BLVD, SUITE 3150
KETTERING, OH 454291264
9373958666
Source: CMS National Downloadable File, September 2026.