Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1978
NPI: 1306827688
Practice Locations (1)
BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES
3535 W 13 MILE RD, 742 BEAUMONT ORTHOPAEDIC INSTITUTE
ROYAL OAK, MI 480736770
2485519100
Source: CMS National Downloadable File, September 2026.