Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1609759505
Practice Locations (2)
31815 SOUTHFIELD RD, SUITE 15
BEVERLY HILLS, MI 480255471
26104 HUNTINGTON RD
HUNTINGTON WOODS, MI 480701239
Source: CMS National Downloadable File, September 2026.