Medical school: UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated: 1998
NPI: 1629044037
Practice Locations (2)
HENRY FORD HEALTH SYSTEM
19401 HUBBARD DR
DEARBORN, MI 481262641
3139162600
HENRY FORD HEALTH SYSTEM
2799 W GRAND BLVD
DETROIT, MI 482022608
Source: CMS National Downloadable File, September 2026.