Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1998
Also: GENERAL SURGERY
NPI: 1033173463
Practice Locations (1)
HENRY FORD HEALTH PROVIDENCE HOSPITAL
16001 W 9 MILE RD 3RD FLOOR, PROVIDENCE HOSPITAL GASTROLOGY
SOUTHFIELD, MI 480754818
2488496033
Source: CMS National Downloadable File, September 2026.