Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1981
NPI: 1336124171
Practice Locations (1)
TIDALHEALTH SPECIALTY CARE LLC
400 EASTERN SHORE DR, TIDALHEALTH CARDIOLOGY
SALISBURY, MD 218045513
4107498906
Source: CMS National Downloadable File, September 2026.