Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1984
NPI: 1326022781
Practice Locations (2)
2888 E LONG LAKE RD
TROY, MI 480853700
2486808400
2888 E LONG LAKE RD, SUITE 110
TROY, MI 480857015
Source: CMS National Downloadable File, September 2026.