Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2019
NPI: 1245899681
Practice Locations (2)
885 PENNIMAN AVE, UNIT 5425
PLYMOUTH, MI 481707729
4000 W WALTON BLVD, SUITE B
WATERFORD, MI 483294191
Source: CMS National Downloadable File, September 2026.