Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1999
NPI: 1396063095
Practice Locations (2)
3109 MAYFIELD RD, SUITE 209
CLEVELAND HTS, OH 441181726
2169566491
PO BOX, SUITE 18481
CLEVELAND HTS, OH 441180481
Source: CMS National Downloadable File, September 2026.