Medical school: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated: 1993
Also: ORTHOPEDIC SURGERY
NPI: 1699773440
Practice Locations (1)
ORTHOPAEDICS NORTHEAST PC
5050 N CLINTON ST
FORT WAYNE, IN 468255886
2604848551
Source: CMS National Downloadable File, September 2026.