Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2008
NPI: 1467733063
Practice Locations (1)
LAKE MICHIGAN OBSERVATION SERVICES PLLC
1500 E SHERMAN BLVD, MERCY HEALTH
MUSKEGON, MI 494441849
2317284601
Source: CMS National Downloadable File, September 2026.