Medical school: WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated: 2000
Also: CRITICAL CARE (INTENSIVISTS)
NPI: 1467460170
Practice Locations (1)
UNIVERSITY PHYSICIAN GROUP
4160 JOHN R ST, SUITE 615
DETROIT, MI 482012022
3137454195
Source: CMS National Downloadable File, September 2026.