Dr. Koch graduated from University Autonoma de Guadalajara in 1977 and has been in practice for 40 years. He completed a residency at Medical College of Ohio Hospital. He currently practices at Amherst Cosmetic & Plastic Surgery and is affiliated with Gates Vascular Institute, Kaleida Health Buffalo General Hospital and Kaleida Health Millard Suburban Hospital. Dr. Koch accepts multiple insurance plans including Empire Blue Cross Blue Shield and Blue Cross Blue Shield. Dr. Koch is board certified in Plastic Surgery. In addition to English, Dr. Koch's practice supports this language: Spanish.