Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1265513980
Practice Locations (1)
HENRY FORD HEALTH MACOMB OAKLAND HOSPITAL
11800 E 12 MILE RD, ASCENSION MACOMB OAKLAND HOSPITAL
WARREN, MI 480933472
5865735000
Source: CMS National Downloadable File, September 2026.