Medical school: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated: 1994
NPI: 1326097288
Practice Locations (1)
LIFECARE FAMILY HEALTH AND DENTAL CENTER, INC.
830 AMHERST RD NE
MASSILLON, OH 446468525
3304542000
Source: CMS National Downloadable File, September 2026.