Medical school: JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Graduated: 1976
NPI: 1902868532
Practice Locations (2)
PINELAKE PHYSICIAN PRACTICE LLC
1029 MEDICAL CTR CIR
MAYFIELD, KY 420661189
PINELAKE PHYSICIAN PRACTICE LLC
1099 MEDICAL CTR CIR
MAYFIELD, KY 420661179
2702514250
Source: CMS National Downloadable File, September 2026.