Medical school: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated: 1994
NPI: 1306862891
Practice Locations (1)
REGENTS OF THE UNIVERSITY OF MICHIGAN
1500 E MEDICAL CTR DR 2ND FLOOR, TAUBMAN CENTER
ANN ARBOR, MI 481090999
7349363604
Source: CMS National Downloadable File, September 2026.