Medical school: PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduated: 1989
NPI: 1619055746
Practice Locations (2)
HENRY FORD HEALTH SYSTEM
2799 W GRAND BLVD
DETROIT, MI 482022608
HENRY FORD HEALTH SYSTEM
2799 W GRAND BOULEVARD
DETROIT, MI 482022608
3138762151
Source: CMS National Downloadable File, September 2026.