Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 2000
NPI: 1700888575
Practice Locations (1)
EAR NOSE AND THROAT ASSOCIATES PC
10021 DUPONT CIRCLE CT
FORT WAYNE, IN 468251604
2604268117
Source: CMS National Downloadable File, September 2026.