Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2000
Also: HAND SURGERY, SPORTS MEDICINE
NPI: 1568444107
Practice Locations (1)
PREMIER ORTHOPEDICS OF FORT WORTH, PA
6930 HARRIS PKWY, SUITE 130
FORT WORTH, TX 761324272
81763200202008
Source: CMS National Downloadable File, September 2026.