Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 2002
NPI: 1538433826
Practice Locations (2)
12429 CEDAR RD, SUITE 22
CLEVELAND, OH 441063155
12429 CEDAR RD, SUITE 22
CLEVELAND, OH 441063199
2162877480
Source: CMS National Downloadable File, September 2026.