Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1982
NPI: 1467566695
Practice Locations (1)
NORTHEAST OHIO NEIGHBORHOOD HEALTH SERVICES, INC.
1468 E 55TH ST
CLEVELAND, OH 441031307
2168812000
Source: CMS National Downloadable File, September 2026.