Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2001
NPI: 1396795167
Practice Locations (2)
2108 E THOMAS RD, SUITE 130
Phoenix, AZ 850167761
2108 E THOMAS RD, SUITE 130
PHOENIX, AZ 850160008
Source: CMS National Downloadable File, September 2026.