Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1993
NPI: 1760583363
Practice Locations (1)
16600 W SPRAGUE RD, SUITE 190
MIDDLEBURG HEIGHTS, OH 441306398
4407254971
Source: CMS National Downloadable File, September 2026.