Medical school: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated: 2023
NPI: 1104529015
Practice Locations (2)
22201 MOROSS RD, SUITE 250
DETROIT, MI 482362100
1940 E STATE HWY 114, SUITE 150
SOUTHLAKE, TX 760926526
Source: CMS National Downloadable File, September 2026.