Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2020
NPI: 1508494360
Practice Locations (3)
24513 FORD RD
DEARBORN, MI 481281131
2799 W GRAND BLVD
DETROIT, MI 482022608
17177 N LAUREL PARK DR, SUITE 439
LIVONIA, MI 481523938
Source: CMS National Downloadable File, September 2026.