Medical school: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated: 1978
NPI: 1477621662
Practice Locations (2)
269 SW 19TH ST
ONTARIO, OR 979141972
5418893106
351 SW 9TH ST
ONTARIO, OR 979142639
5418817000
Source: CMS National Downloadable File, September 2026.