Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1986
NPI: 1639175649
Practice Locations (1)
DAYTON CHILDRENS SPECIALTY PHYSICIANS INC
1 CHILDRENS PLZ
DAYTON, OH 454041873
9376414000
Source: CMS National Downloadable File, September 2026.