Medical school: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated: 1996
NPI: 1134282619
Practice Locations (2)
HENRY FORD HEALTH SYSTEM
1 FORD PL
DETROIT, MI 482023450
3138746677
HENRY FORD HEALTH SYSTEM
2799 W GRAND BLVD
DETROIT, MI 482022608
Source: CMS National Downloadable File, September 2026.