Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2012
NPI: 1053674101
Practice Locations (2)
MCLAREN MACOMB
36500 S GRATIOT AVE, 102 MULTISPECIALTIES
CLINTON TOWNSHIP, MI 480351772
5867909003
MICHIGAN INSTITUTE OF UROLOGY PC
20952 E 12 MILE RD, SUITE 200
SAINT CLAIR SHORES, MI 480813203
5867714820
Source: CMS National Downloadable File, September 2026.