Medical school: UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduated: 2002
NPI: 1073962684
Practice Locations (2)
HENRY FORD HEALTH SYSTEM
2799 W GRAND BLVD
DETROIT, MI 482022608
3139162600
HENRY FORD PATHOLOGY
2799 W GRAND BLVD
DETROIT, MI 482022608
3139162600
Source: CMS National Downloadable File, September 2026.