Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2023
NPI: 1154017580
Practice Locations (2)
15 E KIRBY ST APT, SUITE 1226
Detroit, MI 482024033
19815 MACK AVE, SUITE B19815
GROSSE POINTE WOODS, MI 482362505
Source: CMS National Downloadable File, September 2026.