Medical school: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated: 2002
NPI: 1487635330
Practice Locations (2)
FAIRVIEW HOSPITAL
10654 LORAIN AVE
CLEVELAND, OH 441115411
2169411044
FAIRVIEW HOSPITAL
18101 LORAIN AVE
CLEVELAND, OH 441115612
2164767000
Source: CMS National Downloadable File, September 2026.