AMA Member: | Yes |
Gender: | Male |
National Provider Identifier (NPI): | 1134128341 |
License Number: | OS007632L |
License State: | PA |
Medical School: | Oh Univ Coll Of Osteo Med, Athens Oh 457 |
Residency Training: | St Vincent Hlth Ctr, Family Medicine |
Graduation Year: | 1990 |
Certifications: | Family Practice |