Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1974
NPI: 1609934702
Practice Locations (1)
UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY LLC
3188 BELLEVUE AVE
CINCINNATI, OH 452192369
5135841000
Source: CMS National Downloadable File, September 2026.