Medical school: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated: 1973
NPI: 1649450610
Practice Locations (2)
17543 CHATSWORTH ST
GRANADA HILLS, CA 913445720
8187309435
14550 ARCHWOOD ST, C
VAN NUYS, CA 914054604
8189515540
Source: CMS National Downloadable File, September 2026.