Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1985
Offers telehealth
NPI: 1467447441
Practice Locations (2)
26699 W 12 MILE RD, SUITE 100
SOUTHFIELD, MI 480341578
26699 W 12 MILE RD, SUITE 100
SOUTHFIELD, MI 480347814
2489459370
Source: CMS National Downloadable File, September 2026.