Medical school: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated: 1977
NPI: 1386625853
Practice Locations (1)
BEAUMONT MEDICAL GROUP- SPECIALTY SERVICES
3535 W 13 MILE RD, 555 BEAUMONT EYE INSTITUTE
ROYAL OAK, MI 480736770
2485512020
Source: CMS National Downloadable File, September 2026.