Medical school: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1982
Also: CRITICAL CARE (INTENSIVISTS)
NPI: 1619911005
Practice Locations (1)
PARKVIEW HEALTH SYSTEM INC
2200 RANDALLIA DR
FORT WAYNE, IN 468054638
2604256030
Source: CMS National Downloadable File, September 2026.