Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2016
NPI: 1194250837
Practice Locations (3)
33150 SCHOOLCRAFT RD, SUITE L4
LIVONIA, MI 481501631
5219 BIDDLE ST
WAYNE, MI 481842300
PO BOX, SUITE 595
WAYNE, MI 48184
Source: CMS National Downloadable File, September 2026.