Medical school: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1982
NPI: 1700804168
Practice Locations (2)
MARTIN MEMORIAL MEDICAL CENTER INC
10000 SW INNOVATION WAY
PORT SAINT LUCIE, FL 349872111
7723458100
KETTERING INDEPENDENT MEDICAL GROUP INC
4000 MIAMISBURG CENTERVILLE RD, SUITE 450
MIAMISBURG, OH 453423908
9375602011
Source: CMS National Downloadable File, September 2026.