Dr. Ruff was born and raised in the Dayton area. After attending medical school at the Medical College of Ohio, he completed his training in Family Medicine at Good Samaritan Hospital (closed in 2018) in Dayton, Ohio in 2001. He has worked in both private practice and academic teaching settings including Wright State University's School of Medicine. His professional interests include office based procedures and providing care for the whole family, including newborns through geriatrics. His personal interests include spending time with his family, sports (especially golf), reading and writing.