Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1994
NPI: 1083775407
Practice Locations (2)
HENRY FORD MACOMB HOSPITAL CORPORATION
15855 19 MILE RD
CLINTON TOWNSHIP, MI 480383504
5862632300
HENRY FORD HEALTH SYSTEM
2799 W GRAND BLVD
DETROIT, MI 482022608
3139162600
Source: CMS National Downloadable File, September 2026.