Medical school: MEDICAL COLLEGE OF OHIO
Graduated: 1989
NPI: 1902993512
Practice Locations (2)
7215 OLD OAK BLVD, SUITE A421
CLEVELAND, OH 441303346
4408162225
SOUTHWEST GENERAL MEDICAL GROUP INC
7215 OLD OAK BLVD, SUITE A421
MIDDLEBURG HEIGHTS, OH 441303346
4408162225
Source: CMS National Downloadable File, September 2026.