Medical school: LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated: 2006
NPI: 1760686398
Practice Locations (1)
PLASTIC SURGERY INSTITUTE OF OHIO LLC
28601 CHAGRIN BLVD, SUITE 500
WOODMERE, OH 441224562
2165610312
Source: CMS National Downloadable File, September 2026.