Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 2025
NPI: 1417600826
Practice Locations (2)
32905 W 12 MILE RD, SUITE 310
FARMINGTON HILLS, MI 483343345
5609 SPRINGWATER LN
WEST BLOOMFIELD, MI 483221751
Source: CMS National Downloadable File, September 2026.