Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1991
NPI: 1396719670
Practice Locations (1)
NORTHSTAR ANESTHESIA OF MICHIGAN III PLLC
3601 W 13 MILE RD, NSA OF MICHIGAN III PLLC
ROYAL OAK, MI 480736712
2146870001
Source: CMS National Downloadable File, September 2026.