Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 1998
NPI: 1205820230
Practice Locations (1)
REGENTS OF THE UNIVERSITY OF MICHIGAN
1500 E MEDICAL CTR DR
ANN ARBOR, MI 481095000
7349364000
Source: CMS National Downloadable File, September 2026.