Medical school: UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduated: 2020
NPI: 1043834476
Practice Locations (3)
812 E JOLLY RD
LANSING, MI 489106833
812 E JOLLY RD, SUITE 210
LANSING, MI 489106821
PO BOX, SUITE 30161
LANSING, MI 48909
Source: CMS National Downloadable File, September 2026.