Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1993
NPI: 1932163599
Practice Locations (1)
ST MARYS REGIONAL MEDICAL CENTER
93 CAMPUS AVE
LEWISTON, ME 042406030
2077778100
Source: CMS National Downloadable File, September 2026.