Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1235131160
Practice Locations (1)
HENRY FORD HEALTH MACOMB OAKLAND HOSPITAL
11885 E 12 MILE, 202A MACOMB ACADEMIC CLINIC OB GYN
WARREN, MI 480933469
5865827090
Source: CMS National Downloadable File, September 2026.