Medical school: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduated: 1975
NPI: 1629069612
Practice Locations (2)
26 E 6TH ST, SUITE 401
CINCINNATI, OH 452022550
5138272323
1 MEDICAL CTR DR
MIDDLETOWN, OH 450052584
5134242111
Source: CMS National Downloadable File, September 2026.