Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2021
Offers telehealth
NPI: 1659954972
Practice Locations (2)
IHA OLMA SPECIALTY 1 LLC
19000 ST JOES PKWY
LIVONIA, MI 481521477
IHA OLMA SPECIALTY 1 LLC
36475 5 MILE RD
LIVONIA, MI 481541971
7346552692
Source: CMS National Downloadable File, September 2026.