Medical school: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated: 1983
NPI: 1386612927
Practice Locations (2)
1077 GORGE BLVD
AKRON, OH 443102408
1077 GORGE BLVD, C/O PAYER ENROLLMENT
AKRON, OH 443102408
Source: CMS National Downloadable File, September 2026.