National Provider Identifier (NPI):
1558372789
License Number:
OH34004502
Medical School:
Chicago Coll Of Osteo Med, Midwestern Univ, Chicago IL 60615
Residency Training:
St Johns Hlth Sys/Oakland Hosp, Urology; Garden City Hosp-Msucom, General Surgery; Garden City Hosp-Msucom, Flexible Or Transitional Year