Medical school: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated: 1984
NPI: 1487694949
Practice Locations (2)
UNIVERSITY PHYSICIAN GROUP
3980 JOHN R ST
DETROIT, MI 482012018
3137457641
UNIVERSITY PHYSICIAN GROUP
4201 SAINT ANTOINE ST
DETROIT, MI 482012153
3137454380
Source: CMS National Downloadable File, September 2026.