Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1980
NPI: 1093862682
Practice Locations (2)
1525 UNIVERSITY DR
AUBURN HILLS, MI 483262673
2483739200
44405 WOODWARD AVE
PONTIAC, MI 483415023
2488583000
Source: CMS National Downloadable File, September 2026.