Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 1990
NPI: 1861449274
Practice Locations (1)
DAYTON SKIN SURGERY CENTER INC
3025 GOVERNORS PLACE BLVD
DAYTON, OH 454091330
9372935567127
Source: CMS National Downloadable File, September 2026.