Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2004
NPI: 1568679314
Practice Locations (2)
UNIVERSITY PHYSICIAN GROUP
4100 JOHN R ST
DETROIT, MI 482012013
8005276266
UNIVERSITY PHYSICIAN GROUP
4201 SAINT ANTOINE ST
DETROIT, MI 482012153
Source: CMS National Downloadable File, September 2026.