Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1993
NPI: 1629086475
Practice Locations (1)
OHIO SPECIALTY PHYSICIANS CORPORATION
2600 TUSCARAWAS ST W, SUITE 540
CANTON, OH 447084699
3304540350
Source: CMS National Downloadable File, September 2026.