Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1985
Offers telehealth
NPI: 1699741561
Practice Locations (2)
11109 PARKVIEW PLAZA DR, SUITE 117
Fort Wayne, IN 468451701
11109 PARKVIEW PLAZA DR, SUITE 117
FORT WAYNE, IN 468451701
Source: CMS National Downloadable File, September 2026.