Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2015
NPI: 1639551880
Practice Locations (2)
HENRY FORD HEALTH PROVIDENCE HOSPITAL
1225 S LATSON RD, SUITE 380
HOWELL, MI 488437643
2484655140
HENRY FORD HEALTH MACOMB OAKLAND HOSPITAL
11900 E 12 MILE RD, 308 AMG CARDIOTHORACIC SURGICAL ASSOCIA
WARREN, MI 480933491
2488492600
Source: CMS National Downloadable File, September 2026.