Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1998
Also: SPORTS MEDICINE
Offers telehealth
NPI: 1346249919
Practice Locations (1)
HENRY FORD HEALTH PROVIDENCE HOSPITAL
26750 PROVIDENCE PKWY
NOVI, MI 483741211
2484654782
Source: CMS National Downloadable File, September 2026.