Medical school: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated: 1982
Offers telehealth
NPI: 1912047994
Practice Locations (3)
11714 U S ROUTE 42
Cincinnati, OH 45241
11714 LEBANON RD
CINCINNATI, OH 452412039
5137694951
11714 US RTE, SUITE 42
CINCINNATI, OH 45241
Source: CMS National Downloadable File, September 2026.