Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1984
Also: INTERNAL MEDICINE
NPI: 1821082710
Practice Locations (1)
KETTERING INDEPENDENT MEDICAL GROUP INC
3535 PENTAGON BLVD, SUITE 220
BEAVERCREEK, OH 454311705
9374297350
Source: CMS National Downloadable File, September 2026.