Medical school: HARVARD MEDICAL SCHOOL
Graduated: 1997
Offers telehealth
NPI: 1568554087
Practice Locations (1)
HENRY FORD HEALTH ST. JOHN HOSPITAL
21000 E 12 MILE RD, SUITE 111
SAINT CLAIR SHORES, MI 480811156
5867797610
Source: CMS National Downloadable File, September 2026.