Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 2010
NPI: 1609190255
Practice Locations (1)
UNIVERSITY PHYSICIAN GROUP
400 MACK AVE 2, DETROIT MACK HEALTH CENTER
DETROIT, MI 482012136
3134489006
Source: CMS National Downloadable File, September 2026.