Medical school: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated: 1982
NPI: 1407996069
Practice Locations (2)
21724 LORAIN RD
FAIRVIEW PARK, OH 441263334
4403561118
ONYX HEALTH GROUP LLC
555 SPRINGBROOK DR
MEDINA, OH 442563651
7182882252
Source: CMS National Downloadable File, September 2026.