Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 2007
NPI: 1306007943
Practice Locations (1)
BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES
3555 W 13 MILE RD, N120 BEAUMONT NEUROLOGY
ROYAL OAK, MI 480736710
8558638761
Source: CMS National Downloadable File, September 2026.