Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 1996
NPI: 1346994464
Practice Locations (2)
31643 WALTHAM DR
BEVERLY HILLS, MI 480255120
2488546382
2265 LIVERNOIS RD, SUITE 410
TROY, MI 480831606
2488546382
Source: CMS National Downloadable File, September 2026.